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Amended DA Form 1 OPW18-0118
Department of Infrastructure, Local Government and Planning
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 Queensland and are to be identified eel Se eee moe ee information on easements and ia
they may affect the proposed development, see. DA:Forms Guide=
{] Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
[INo
PART 3 — DEVELOPMENT DETAILS
Section 1
C a) What is the type of development? (tick only one box)
(1 Material change of use (2 Reconfiguring a lot Operational work (1 Building work
b) What is the approval type? (tick only one box)
Development permit C2 Preliminary approval C Preliminary approval that includes
a variation approval
c) What is the level of assessment?
Code assessment (2 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 4 lot into 3
lots):
Roadworks - fronting the development
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.
{J 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)
€ CO Material change of use (1 Reconfiguring a lot Operational work (] Building work
b) What ts the approval type? (tick only one box)
Development permit C1 Preliminary approval C Preliminary approval that includes a variation
approval
c) What is the level of assessment?
KK Code assessment OG 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)!
Landscaping - reinstatement of the parkland to the south
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.
L Relevant plans of the proposed development are attached to the development application
6.3):Additional aspects of development. :
( Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application
&] Not required
Page 3
DA Form 1 ~ Development Application details
Version 1.0—3 July 2017
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