DA Form 5 - 9 Dwyer St

 

Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |

 

 

 

(J Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification: |

 

 

 

 

(J Yes — All easement locations, types and dimensions are included in plans submitted with this development

application

R4No
PART 3 —- DEVELOPMENT DETAILS

Section 1 — Aspects of development

a) What is the type of development? (tick only one box)

 

 

 

 

 

 

[WZ Material change of use —_[_] Reconfiguring a lot (J Operational work (J Building work

b) What is the approval type? (tick only one box)

[At Development permit (1 Preliminary approval (J Preliminary approval that includes a variation approval

c) Whatis the level of assessment?

yw Code assessment Oo Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot info 3
lots):

 

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e) Relevant plans

Note: Relevant plans are required to be submitted for ali aspects of this development application. For further information, see DA Forms quide:
Relevant plans.

[a Relevant plans of the proposed development are attached to the development application

 

 

a) What is the type of development? (tick only one box)

 

 

 

(] Material change of use —_[_] Reconfiguring a lot (J Operational work (1 Building work
b) What is the approval type? (tick only one box) |
CJ Development permit (1 Preliminary approval (1 Preliminary approval that includes a variation approval

 

c) What is the level of assessment?

 

(J Code assessment (Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

e) Relevant plans
Note; Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.

 

 

(J Relevant plans of the proposed development are attached to the development application

 

(J 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

[EANot required |