DA Form 1 SKM_C30823020213560

 

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

EMR site identification: |
(1 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 fo be identified correctly and accurately. For further information on easements and
how they may affect the proposed development, see DA Forms Guide.

(1 Yes - All easement locations, types and dimensions are included in plans submitted with this development
application

ONo
PART 3 — DEVELOPMENT DETAILS

  

Section 1 — Aspects of development

 

 

 

 

 

 

Provide details abo cS) evelo ent aspe
a) What is the type of development? (tick only one box)
CJ Material change of use ~[[] Reconfiguring a lot Sf Operational work (Building work
b) What is the approval type? (tick only one box)
(J Development permit LC Preliminary approval ( Preliminary approval that includes a variation approval
c) What is the level of assessment?
(J Code assessment (J 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):

 

 

Seeking =pprove| Por c& nen Stover clrive way

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.

LC 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 ~[[] Reconfiguring a lot CJ Operational work (1 Building work

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

LJ Development permit CL Preliminary approval CO Preliminary approval that includes a variation approval
c) What is the level of assessment?

(Code assessment Cd 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

6.3) Additional aspects of development

(1 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

CI Not required

 

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.3— 28 September 2020