Application Form

   
  

11) Dividing land into parts by agreement — how many parts are being created and what is the intended use of the
parts?

       
 

   

          

  

Intended use of parts created Residential Commercial Industrial Other, please specify:

 

 

Number of parts created

 

 

12) Boundary realignment
12.1) What are the current and proposed areas for each lot comprising the premises?

Current lot Proposed lot
Lot on plan description Area (m?) Lot on plan description Area (m?)

12.2) What is the reason for the boundary realignment?

13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
(attach schedule if there are more than two easements)

Existing or Width (m) | Length (m) | Purpose of the easement? (e.g. Identify the land/lot(s)
proposed? pedestrian access) benefitted by the easement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Division 3 — Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.

14.1) What is the nature of the operational work?

 

Road work [x] Stormwater C] Water infrastructure
CJ Drainage work LC Earthworks LC Sewage infrastructure
(&M Landscaping OO Signage C Clearing vegetation
[XJ Other — please specify: | Access

 

 

14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
M Yes — specify number of new lots:

 

[No
14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)

$ 25,000 —

 

 

PART 4 — ASSESSMENT MANAGER DETAILS

15) Identify the assessment manager(s) who will be assessing this development application

N00§ 4 Counce

16) Has the local government agreed to apply a superseded planning scheme for this development application?

   

L Yes — a copy of the decision notice is attached to this development application

C1 Local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

BL No

 

Page 5
DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018