10/0627 - Lot Reconfiguration (1 lot into 3) [As Published] · 152010.627

LID

‘(122 Does the proposal includes new building, “work or Operational work on the premises? (including. any. .
services) . 7. Pd ay ee ee : : .

 

 

 

 

 

 

No []Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted

 

13. Is: the payment of a portable long service leave levy, applicable to. this application?, (refer to the notes at the:
“end of this form for more information). -o ack ?

2 ES : Lode ne se a ee

 

 

 

 

 

No - Go to question 15 OD Yes

 

15: Has the local government agreed to apply a- jeupersoded planning : scheme to thig is application under: iy
: -Seétion 96 of the Sustainable Planning Act 20097: w. .

      

 

 

   

 

{k] No

“ (1 Yes - provide details below

 

 

 

 

[Method of lodgement to

Description of attachment or title of attachment
assessment manager

 

1 _|Planning Assessment Report M2358 over the counter

 

2  |Owners Consent Form over the counter

 

 

 

 

 

    

my rs oo

nt's declaration?.* °. i. = °°

    

 

 

Xx By making this application, | declare that all information in this application is true and correct (note: it is
unlawful to provide false or misleading information).

 

 

 

 

Application Details - IDAS form 1
Version 1.0 18 December 2009