0015E664.001

INTEGRATED PLANNING ACT 1997 . :                           a                as         .            "Part,  Version 2.0, 4 October 2004:
       -         %, %»        Form 1 Development Application                                                                    idas

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       &                        Material change ofuse                                                         =")
          si                             —,                                -                  ye            _       Assis WER       RS
           iy        assessable against a local government’s planning scheme                                      gs 3s             BS
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            ;            ’   Completion of all applicable questions on Part D is mandatory for all applications involving assessment of.a
      Oe         Ss                  material change of use (MCU) assessable against a local govermments planning scheme. .
   -      Nature of the application          1.  This application is for: (tick 1 or both if applicable)                 oo              —_
 :        A development permit authorises   __* [[] Preliminary approval for a material change of use of premises including conceptual    =,
;         Sat     a ep i ephrckalprocate               design for any associated works that require approval under the planning scheme fie
 .       _and does not authorise development to oocur.|. —._-—«- Consideration ofthe proposal concept)     vo                            -
      4                          ~-      1         ANDLOR. -             Co                                   _           Po
  .   @                    o                 .             elopment permit for a material change of use. of premises including coriceptual’
:                                 oo                  " design for any associated works that require approval under the planning scheme:   y
        _ The subjectland                  _|2.  How the subject land is identified in the planning scheme (name the zone, precinct etc.) oo
         For the definition of “gross floor area” go to Lor   :          eA) Pr      OO} -                                .
"the         planning scheme against which the            (3 , ©                                   a                                J.
        _ appfication will be assessed.  ,                                  .                                 _
       |                          (ft            Siteggessteraes mewn [FU ea meres |
 a :       .           oo                   4. Are there any existing easements on the land?         an
                                   .               LINO °                                                       oe                  .       a
               wen | aN                         .  [YES ~ attach plans of the location and details of the purpose of the easement . :
Looe,    Material Sha Ge of use‘adtails.    5: Details of the change to the use of the land: (eg. vacant land to shopping centre, house to apartment building,
         fy             BS                     vacantiand ond    fe mantactuig) ee)                      Ne
        /   7                 -.      CAT       f                          TT:                                   5                y.
       [a7       RECEIven            (o\|       [Fem a seoPTo A Tyre 2                                            sop)
       Fel      2   1 Aue zoo7              6    Montes                                                                                          |
 -      F\        FACT couNTERG A /         |    SPE         eNS and     hows:                    TO    SUSRAY,    6          ath      PPH  |
         VPA   tonsasiize cowie, 6/7.                Operating days and hours:             DAG TO SUNDAY 625i
   |   Taoey BTS                            8 Sieooer          [|                    Wai}                                              _
           AsSatitted building worksabiaié i |g   Stecove:     [ASFA i                              |
   — areat and storey go the planing scheme 9.   Gross floor area:  [7K             a          _            po           Op
          Bese rametnetie                  10,      ber of   scar prin pes:                                                               /
 v                       a,                  11. Nuinber of storeys / maximum height above natural ground:                             a
    I                           a      .  | 12. Number of employees      |             ioe. {            o           :       ce               .
          Co           ce                   13. Hours and days thé use will operate   [| pp OV — SUN B30 - 40-86
  Sc     ‘Associated operational works details | 14. Details of associated operational works (eg. landscaping, cut and fil, drainage, road works etc.)
     (ON                                            A eT)
|                  So                                           PLBASENOTE                                    |             |         |
       oo                    :       . This application cannot be accepted unless accompanied by Part Aof Form 1. -               .
   -         The'assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information. -
  oS                       :                .- Tequested by Part A anid any other relevant part of Form 1.               a
..        OFFICE USE ONLY (cnpicabie to assessment             manage. -  .                 os         so.                                 oo