1.0 IDAS Form 1

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

Applicant’s reference number (non-mandatory
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.)
     X Material change of use            Reconfiguring a lot            Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval       X Development permit
          under s241 of SPA               under s241 and s242
                                          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.)
     Proposed industrial type 2 development with ancillary dwelling unit and entertainment and dining facility on
         vacant industrial land zoned for industrial activity



d)   What is the level of assessment? (Please only tick one box.)
     X Impact assessment                 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.)
         Material change of use          Reconfiguring a lot            Building work          X Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval       X Development permit
          under s241 of SPA               under s241 and s242
                                          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.)
     Operational Works associated with industrial type 2 development with ancillary dwelling unit and entertainment
         and dining facility on vacant industrial land zoned for industrial activity



d)   What is the level of assessment?
     X Impact assessment                 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.)




                                                                                              IDAS form 1—Application details
                                                                                                  Version 4.2—3 August 2015