Development Application part 1 of 2 IDAS Forms MCU13/0030

 Fax number (non-mandatory requirement)


                                                              Scott.sobey
 e-mail address (non-mandatory requirement)

                                                      [email protected]


 Applicant’s reference number (non-mandatory
 requirement)                                             111428
                                                          .




 1. What is the nature of the development proposed and what type of approval is being sought?


 Table A-Aspect 1 of the application (If there are additional aspects to the application please list in Table B-Aspect 2.)

 a)    What is the nature of the development? (Please only tick one box.)

       [gJ Material change of use      D Reconfiguring a lot                 D Building work                D Operational work

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

       D Preliminary approval          D Preliminary approval                [gJ Development
            under s241 of SPA                under s241 and s242                     permit
                                            of SPA

 c)    Provide a brief description of the proposal, including use definition and number of buildings or structures where
       applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

      I Extensions and alterations to existing aged   care      facility                                                          I
 d)    What is the level of assessment? (Please only tick one box.)

       D Impact assessment             [gJ Code assessment


 Table B-Aspect 2 of the application (If there are additional aspects to the application please list in Table C-Additional
 aspects of the application.)

 a)     What is the nature of development? (Please only tick one box.)

       D Material change of use        D Reconfiguring a lot                 D Building work                D Operational work

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

       D Preliminary approval          D Preliminary approval                D Development
             under s241 of SPA               under s241 and s242                     permit
                                             of SPA

 c)     Provide a brief description of the proposal, including use definition and number of buildings or structures where
        applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)




 d)     What is the level of assessment?

       D Impact assessment             D Code assessment


I Table C-Additional aspects of the application (If there          are additional   aspects to the application please list in a