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07/0557 - MCU - Multiple House Type 1 [As Published] · 132007.557
INTEGRATED PLANNING ACT 1997 Part D, Version 2.0, 4 October 2004
Form 1 Development Application
Material change ofuse _ —
assessable against a local government’s planning scheme “
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 govemments planning scheme.
Nature of the application 1. This application is for: (tick 1 or both ff applicable)
A development permit authorises [A Preliminary approval for a material change of use of premises including conceptual
Sole Sent hear a preity design for any associated works that require approval under the planning scheme (te.
and does not authorise development to oocur. ___ Sonsideration of the proposal concep)
AND/OR
{Development permit for a material change of use of premises including conceptual
design for any associated works that require approval 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 “ floor area” go to r
the planing scheme against which the [bot ft eu KPIS 47342 ]
application will be assessed.
3. Existing gross floor area: (i applicable) [ |
4. Are there any existing easements on the land?
[7.NO
(1 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 fo shopping centre, house to Sspariment buiiding,
vacant land fo industry {tyre manufacturing} etc.)
| _|
6. Number of employees: [ : |
7. Operating days and hours: [ |
Associated building works details (if |g — Site cover. [t—‘“SSOCOCCCCCCSY
applicable) :
aganstwnich the appication willbe 10. Number of on-site car parking spaces: | ]
11. Number of storeys / maximum height above natura! ground:
12. Number of employees []
13. Hours and days the use will operate [ ‘|
Associated operational works details | 14. Details of associated operational works (eg. landscaping, cut and fil, 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
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