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Application for Operational Works - W & S - OPW14/0145 (see REC12/0014)

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Email address (non-mandatory     requirement)       I james. [email protected]

Applicant's reference number (non-mandatory         110234
requirement)

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.)

     o Material change of use        [ZJ Reconfiguring a lot          0   Building work           0   Operational work


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

     o Preliminary approvai
          under s241 of SPA
                                     o    Preliminary approval
                                           under s241 and s242
                                                                      [ZJ Development 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.)

     Sewerage and Water Main Reticulation Works for Reconfigure of Lot (1 Lot into 2 No Lots)



d)   What is the level of assessment?   (Please only tick one box.)

     o   Impact assessment           [ZJ 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.)

     o Material change of use        0 Reconfiguring a lot            0 Building work             0 Operational work
b)   What is the approval type? (Please only tick one box.)

     o Preliminary approval          o Preliminary approval           o 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 ot assessment?

     o Impact assessment             0 Code assessment

Table C-Additional   aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)

     [ZJ Refer attached schedule 0        Not required




                                                                                                IDAS (onn I-Application details
                                                                                                       Version 3.0-1 July 2013
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