DA form 1

ing land Into parts by agreement — how many parts are being cr j what is the intended use of the

 

Intended use of parts created Residential Commercial Industrial Other, please specify:

 

 

 

Number of parts created

 

 

¢ as for each lot comprising the premise
Current lot Proposed lot
Lot on plan description Area (m?) Lot on plan description Area (m?)

 

 

 

 

 

 

 

 

J

 

 
   

ed and/or any proposed ea
(attach schedule if there are more than J
Existing or Width (m) | Length (m) | Purpose of the easement? (e.g. \dentify the land/lot(s)
proposed? pedestrian access) benefitted by the easement

 

 

 

 

 

 

 

 

 

Division 3 — Operational work
Note: This division is only required to be completed if any part of the development annti ves operational work

14.1) What is the nature of the operational work
CO Road work 0 Stormwater LD Water infrastructure
LJ Drainage work DD Earthworks CJ Sewage infrastructure
CJ Landscaping C1 Signage LC Clearing vegetation

CJ Other — please specify: |

       
        
   
  
  
  
  

 

   
 
    
 

14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
LJ Yes — specify number of new lots:
CINo

14.3) What is the monetary value of the proposed operational work? (include GST. materials and labour}

 

 

  

 

PART 4 — ASSESSMENT MANAGER DETAILS

15) Identify the assessment manager(s) who will be assessing this development application

16) Has the local government agreed to apply a superseded planning scheme for this development application?

 

LI Yes — a copy of the decision notice is attached to this development application

CJ Local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

LNo

 

Page 5
DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018