00196B01.001

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          INTEGRATED PLANNING ACT 1997                                                                                   Part D, Version 3.1, 3 March 2008

                                                                               A      A                                             ‘ a
                                 Form 1        Development Application                                                              IGAS
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                                              Material change of use assessable ag pins                       ait        4S ‘or
                                                       :                                                2                           ‘
                                                                  planning scheme                         QS» Se yot              &)
                                                                           :                                        OT      ek
          Planning scheme identification                                                                     LiTe
         1.         How is the premises identified / zoned in the applicable planning scheme? (NOTE: if the premises involves muttiple zones clearly identify the
                    refevant zone for each lot) - provide details for each lot on a separate row
                             -            Lot description         ,             .              .             t          a,                       ,
                                                                            Applicable zone /precinct /area              Applicable overlays
                            Lot 6 on SP 191716                         Visitor Mixed Use                       Natural Hazards: Landslide/Flooding
                                                                                                               Natura! Hazards: Bushfire and Acid

        ‘Nature of the proposed material change of use (MCU) :                                      ees
          2.        How is the proposed use/s defined in the applicable planning scheme?
                            Rane                                   ‘Planning scheme definition (include each | No. of dwelling/ |Days & hours of] No. of
                            General agi        gine reposed use       definition in a new row or on attached tenancy units  operation      employees
                                       18. in y                           documentation if applicable)     (if applicable)  {if applicable) | (if applicable)
                             seating
          3.        What type of approval is being sought?
                     [X] Development Permit                [_] Preliminary Approval               [_] Both (Provide details below)
          4,        Are there any current approvals associated with this application for the change of use of the premises? (e.g. a Preliminary Approval for
                    the use }
                     [-]No       [&] Yes - Provide details for each associated approval on a separate row
                                 ——              List of approval reference/s                         Date approved     Date approval lapses (if known)

         5,         Does the proposed use involve:
                  (i)        the reuse of existing buildings on the premises                             [_] No         Dx] Yes - Complete Table A
                  (ii)       new building work on the premises                                           [x] No         [_] Yes - Complete Table 8
                  (iii)      the reuse of other existing operational works on the premises               [Xx] No        [_] Yes - Complete Table C
                   {iv)      new operational work on the premises                                        [x] No         [_] Yes - Complete Table D
                   Table A |Ezisting for area
                               Existing site cover

                               Existing maximum height above natural ground tevel