Application Receival Checklist MCU13/0067

                                                                   Yes     No      Numberofco~
                                                             Electronic copy(s) supplied C1’Yes 0No             details:

            ral -MCUlROLlBLDA/OPW (Not applicable for a
                                                               Request for Compliance Assessment or Change)
                Form 1 completed in full?
                                                            Clearly itemise any outstanding items that are mandatory:




                other required forms complete in full
                                                            Clearly itemise any outstanding relevant forms, incomplete sections and
                                                                                                                                    missed
           .all mandatory info provided for each?           mandatory information:
          Yes
    o No




    Request to Change Existing Approval andlor Extension to Relevant Period OR Reques
                                                                                                              Pre-request Response Notice:
     Is the relevant Council form completed
                                                             Clearly itemise any outstanding’
     including ALL questions and supporting
     items? (unless the form indicates otherwise)
     DYes
     o No
     Request for Compliance Assessment:
     Is Form 32 completed including ALL questions
     and supporting items? (unless the form
     indicates otherwise)
     DYes
     o No


     Properly Made Check: (Not applicable for a Request for Compliance Assessment or
                                                                                         Change)                     /’
     Is the Application currently considered
                                                  ’Properly Made’ based on the information                       c::1 Yes
     provided? Check:
     -
         Owners consent                                                                                          o No
     -
         Fees
     -

         Mandatory Information


     Administration:

     Generated Application #:                        Date Received: \ ’b / 4 / 13                      Received By: I
                                                     Office Location:
                 VV1 GU r~1 ()06i          .

                                                                           Max OCe),1..\
                                                                                                       Name: 001lV11


                                                                                         \   )
     Statistical Information:

                               MCU                          ROL or Subdivision Plans
                                                                                                                           OPW
     GFA (m2)Res:              Non Res:              Existing Lots:      Created Lots:         /       Existing Lots:       Created Lots:
     TOTAL GFA (m2):                                 Total Lots:
                                                                                              /       Total Lots:
     Height (m):               Storeys:              No. of Units (BFP):                     /         Existing Site Area (ha):
     No. of Units:
                                                     Existing Site Area (ha):        7                 Proposed Dev Area:
     Car spaces:                                     Proposed Dev Area:              /
                                                                                    7
     Checklist for Child Application Associations to be Recreated
                                                                                   /
     o Applicants ’ramApplict’            o Child Primary Property ’ramPrProp!’              o Child Related Land ’ramLandC’
     o Consultants ’ramConsult’           o Child Primary Land ’ramPrLand                    o Child Referral Agency ramRefConc
                                                                                                                                      (or refAdv)
     o Owners (all) ’ramOwner’            o Child Related Property ’rampr     C’             o Associated Application
                                                                                                                        ’ramAssApp’




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