Amended DA Form 1

 

Intended use of parts created Residential Commercial Industrial Other, please specify:

 

 

Number of parts created

 

 

 

 

 

 

 

 

Current lot Proposed lot
Lot on plan description Area (m?) Lot on plan description Area (m?)

 

 

 

 

 

 

 

 

 

 

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.

 
  
 
          
   
   

      
   

[1] Road work
(J Drainage work

(J Landscaping

Other — please specify:

CJ Stormwater (2 Water infrastructure
CL] Earthworks C Sewage infrastructure
LJ Signage : C1 Clearing vegetation

C1 Yes — specify number of new lots:

LINo

 

 

$

 

PART 4 — ASSESSMENT MANAGER DETAILS

   

(1 Yes — a copy of the decision notice is attached to this development application

L] The local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

[I No

PART 5 — REFERRAL DETAILS

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Page 5
DA Form 1 — Development application details
Version 1.2— 7 February 2020