DA Form 1 (004)

   6.3) Additional aspects of development
   ☐ Additional aspects of development are relevant to this development application and the details for these aspects
       that would be required under Part 3 Section 1 of this form have been attached to this development application
   ☒ Not required
   6.4) Is the application for State facilitated development?
   ☐ Yes - Has a notice of declaration been given by the Minister?
   ☒ No

Section 2 – Further development details
    7) Does the proposed development application involve any of the following?
   Material change of use                   ☒ Yes – complete division 1 if assessable against a local planning instrument
   Reconfiguring a lot                      ☐ Yes – complete division 2
   Operational work                         ☐ Yes – complete division 3
   Building work                            ☐ Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
      local planning instrument.
   8.1) Describe the proposed material change of use
   Provide a general description of the                   Provide the planning scheme definition               Number of dwelling        Gross floor
   proposed use                                           (include each definition in a new row)               units (if applicable)     area (m )  2


                                                                                                                                         (if applicable)

   Dwelling House                                         means a residential use of premises involving—       1                         See plans
                                                           (a) one dwelling for a single household and
                                                               any domestic outbuildings associated with
                                                               the dwelling; or
                                                           (b) one dwelling for a single household, a
                                                               secondary dwelling and any domestic
                                                               outbuildings associated with either
                                                               dwelling.




   8.2) Does the proposed use involve the use of existing buildings on the premises?
   ☐ Yes
   ☒ No
   8.3) Does the proposed development relate to temporary accepted development under the Planning Regulation?
   ☐ Yes – provide details below or include details in a schedule to this development application
   ☒ No
   Provide a general description of the temporary accepted development                                         Specify the stated period dates
                                                                                                               under the Planning Regulation



Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
   9.1) What is the total number of existing lots making up the premises?

   9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
   ☐ Subdivision (complete 10)                                           ☐ Dividing land into parts by agreement (complete 11)