DA form 1

 

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

EMR site identification:

CJ 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|?

     

haw they may affect ere felaaet see mele

C Yes — All easement locations, types and dimensions are included in plans submitted with this development

application
Eo

PART 3 —- DEVELOPMENT DETAILS

Sa SAR ML mes alt cco MAM eR

 

 

 

 

Section 1 — Aspects of development
6.1) Provide detai

  
 

irst development as

   

a) What is the type of development? (tick only one box)

 

Ci Material change of use CD Reconfiguring a lot Cd Operational work building work
b) What is the approval type? (tick only one box)
Development permit UD Preliminary approval CJ Preliminary approval that includes

a variation approval

 

c) What is the level of assessment?
(1 Code assessment CJ 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):

Fre poses Ce nnd aus a evisbay sho Tor Com ler k neigh be ssag,

she ps

 

 

e) Relevant plans
Note: Relevant plans are required to be submitted for aif aspects of this development application. For further information, see DA Forms quide:

Relevant plans.
g Relevant plans of the proposed development are attached to the development application

6.2) Provide details about the second development oe fn ee

a) What is the type of development? (tick only one box)

 

 

LD Material change of use C1 Reconfiguring a lot CD Operational work C1 Building work

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

LJ Development permit LC Preliminary approval LJ Preliminary approval that includes a variation
approval

 

c) What is the level of assessment?
(J Code assessment LC 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 ail aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.

CJ Relevant plans of the proposed development are attached to the development application

 

 

 

Page 3
DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018