Ida form 122052017 · OPW17/0180

 

Department of intrastructure, Local Government and Plenning

Email address (non-mandatory requirement) - (ed @pa-
@ F, kde.

Applicant's reference number (non-mandatory
requirement)

1. Whatis 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.
LJ Material change ofuse [_] Reconfiguring a lot Building work
b) What is the approval type? (Please only tick one box.) fo
al Preliminary approval ra Preliminary approval Development permit
under $241 of SPA under s241 and s242
of SPA

¢) 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.)

Ad a Seard Clrieway to Q Commer (ot,

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

 
 

 

It] Operational work

 

 

Impact assessment C] 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) Whatis the nature of development? (Please only tick one box.)
oO Material change of use oO Reconfiguring a lot CT Building work | Operational work

 

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

{_] Preliminary approval [] Preliminary approval = [—] Development
under $241 of SPA under 8247 and s242 permit
of SPA

ce) 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. )

ee

oO Impact assessment O Code assessment |

cd) What's the level of assessment?

Table C—Additional aspects of the application (|f there are additional aspects to the application please list in @
separate table cn an extra page and attach to this form.)

(L] Refer attached schedule [-] Not required

    
   

IDAS form 1—Agplication details
Version 4.2—6 December 2076