DA Form 1 (004)

   ☐ Boundary realignment (complete 12)                                ☐ Creating or changing an easement giving access to a lot
                                                                          from a constructed road (complete 13)


   10) Subdivision
   10.1) For this development, how many lots are being created and what is the intended use of those lots:
   Intended use of lots created               Residential               Commercial              Industrial              Other, please specify:


   Number of lots created
   10.2) Will the subdivision be staged?
   ☐ Yes – provide additional details below
   ☐ No
   How many stages will the works include?
   What stage(s) will this development application
   apply to?
  11) Dividing land into parts by agreement – how many parts are being created and what is the intended use of the
      parts?
  Intended use of parts created       Residential     Commercial          Industrial         Other, please specify:


   Number of parts created
   12) Boundary realignment
   12.1) What are the current and proposed areas for each lot comprising the premises?
                          Current lot                                               Proposed lot
   Lot on plan description                Area (m ) 2
                                                                               Lot on plan description                Area (m )
                                                                                                                              2




   12.2) What is the reason for the boundary realignment?


   13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
   (attach schedule if there are more than two easements)
   Existing or                Width (m)        Length (m)        Purpose of the easement? (e.g.                      Identify the land/lot(s)
   proposed?                                                        pedestrian access)                               benefitted by the easement




Division 3 – Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.
   14.1) What is the nature of the operational work?
   ☐ Road work                                  ☐ Stormwater                                        ☐ Water infrastructure
   ☐ Drainage work                              ☐ Earthworks                                        ☐ Sewage infrastructure
   ☐ Landscaping                                ☐ Signage                                           ☐ Clearing vegetation
   ☐ Other – please specify:
   14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)



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                                                                                                             DA Form 1 – Development application details
                                                                                                                           Version 1.6— 2 August 2024