Image (6).jpg · OPW14/0226

Email address (non-mandatory requirement) A SS ZL hfe FOr

Applicant's reference number (non-mandatory
requirement)

 

 

@ Vcovrirry Cheb Aeges COW au
7 a

 

 

 

 

1.

What is the nature of the development Proposed and what type of approval is being sought?

 

 

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B—Aspect 2.)

 

a)

b)

8)

 

q)

What is the nature of the development? (Please only tick one box.)
LJ Material change of use oO Reconfiguring a lot Building work Operational work
What is the approval type? (Please only tick one box.)

[7] Preliminary approval (1 Preliminary approval Esictoomeri permit
under 8241 of SPA under s241 and s242
of SPA

Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined ag a multi-unit dwelling, 30 lot residential subdivision etc.)

a Cilined elhen(//). yt as STAGE E.
ise Stab Front Uae

What is the level of assessment? (Plegse only tick one box.)
7] impact assessment on

 

Code assessment Lowlege prc .

 

Table B—Aspsct 2 of the application (If there are additional aspects to the application please list in Table C—
Additiona! aspects of the application.)

 

a)

b)

e)

What is the nature of development? (Please only tick one box.)

     
   

CO Material change ofuse [7] Reconfiguring a tot O Building work erational work

What is the approval type? (Please only tick one box.) Ke
f Preliminary approval oO Preliminary approval lef
under 5241 of SPA under s241 and s242 permit
of SPA

Provide a brief description of the proposal, inclugiag Use definition and number of buildings or structures where
applicable (e.g. six unit apartment buildin: ined as a multi-unit dwelling, 30 lot residential subdivision ete.)

   

 

q)

 

 

 
  
  

assessment?

act assessment C1 Code assessment

 

 

Table C—Additional aspects of the application (if there are additional aspects to the application please list in a
Separate table on an extra page and attach to this form.)

 

 

 

4
CJ Reter attached schedule [[] Not required AYE

 

IDAS form 1—Application details
Version 3.0—1 July 2013