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Operational Works Application OPW18-0335 · OPW18/0335

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C Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994

EMR site identification:

C Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994

CLR site identification:

5) Are there any existing easements over the premises?

Note: Easement uses vary throughout Q. sland and are eRe sets
how they may affect the proposed devel

C1 Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
XI No

 

 

 

 

 

asements and

  

 

 

 

PART 3 — DEVELOPMENT DETAILS

Section 1 — Aspects of development

 

details about the first development aspect
a) What is the type of development? (tick only one box)

 

C Material change of use (1 Reconfiguring a lot Kl Operational work (1 Building work
b) What is the approval type? (tick only one box)
df Development permit C] Preliminary approval (1 Preliminary approval that includes

a variation approval

 

c) What is the level of assessment?
Bf Code assessment C1 Impact assessment (requires public notification)

 

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3

lots): DEITY AS POU ATTATCHED PLANS 4 SPEUFICANIAS .

 

e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms quide:
Relevant plans.

{& Relevant plans of the proposed development are attached to the development application

6.2) Provide details about the second development aspect

a) What is the type of development? (tick only one box)

 

(J Material change of use (1 Reconfiguring a lot C1 Operational work (1 Building work

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

(1 Development permit (1 Preliminary approval (1 Preliminary approval that includes a variation
approval

 

c) What is the level of assessment?
L] Code assessment C1 Impact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.

(J Relevant plans of the proposed development are attached to the development application

 

 

 

Page 3
DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018

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