07/1852 - MCU - Detached House [As Published] · 132007.1852

INTEGRATED PLANNING ACT 1997 Part D, Version 2.0, 4 October 2004

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Form 1 Development Application

Material change of use

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assessable against a local government’s planning scheme coe
Cr.

 

 

Completion of all applicable questions on Part D is mandatory for all applications involving assessment of a
material change of use (MCU) assessable against a local governments planning scheme.

 

Nature of the application 1. This application is for: (tick 7 or both if applicable)
doctprent ts permit ite a peatininary Cor aiminary approval for a materia! change of use of premises including conceptua!
approval is a step in the approval process design for any associated works that require approval under the planning scheme (ie.

and does not authorise development to occur. consideration of the proposal concept)

a
Development permit for a material change of use of premises including conceptual
design for any associated works that require approvat under the planning scheme.

 

 

 

The subject land 2. How the subject land is identified in the planning scheme (name the zone, precinct etc.)
For the definition of “gross floor area” go to | |
the planning scheme against which the

application will be assessed.

 

 

 

3. Existing gross floor area: (if applicable) — |

 

4. Are there any existing easements on the land?

(J NO

[_] YES - attach plans of the location and details of the purpose of the easement

 

 

 

 

 

 

 

Material change of use details 5. Details of the change to the use of the land: (eg. vacant land to shopping centre, house to apartment building,
vacant land tofndustry (tyre manufacturing) etc.) .
6. Number of employees: | —_.
7. Operating days and hours: | —_— |

 

 

 

 

 

Associated building works details (if {3 — Site cover: | AS . G lo
applicable) . , C at
For the definition of “site cover’, “gross floor 19 Gross floor area: A Xl 3 . a 4 / . , L Doz od ) .
area” and “storey” go to the planning scheme | j—f—4 tH ’
10. Number of on-site car parking spaces: | 4i- .

against which the application will be
assessed.
14. Number of storeys / maximum height above natural ground: | 77 S.A |

|
12. Number of employees — r

 

 

 

 

13, Hours and days the use will operate =| — .

 

 

Associated operational works details | 14. Details of associated operational works (eg. landscaping, cut and fill, drainage, road works etc.)
(if applicable) |

 

 

 

 

 

PLEASE NOTE
This application cannot be accepted unless accompanied by Part A of Form 1.

The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information
requested by Part A and any other relevant part of Form 1.

 

 

OFFICE USE ONLY (applicable to assessment manager)
DATE RECEIVED

 

REFERENCE
NUMBER/S