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DA Form 1 & Plan

of 12

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Plans and drawings

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Division 2 — Reconfiguring a lot

Note: This division is a ae tobe ms if = & of the wae <p involves ee a lot.

Subdivision (complete 10)) Dividing land into parts by agreement (complete 17))

Boundary realignment (complete 12)) Creating or changing an easement giving access to a lot from a
constructed road (complete 13))

Intended use of lots created Residential CommerciallndustriaOther, please specify:

Number of lots created

Yes — provide additional details below
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How many stages will the works include?

What stage(s) will this development application apply
to?

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

Number of parts created

Current lot Proposed lot

Lot on plan description Area (m?) Lot on plan description Area (m?)

Existing or Width (m) Length (m)Purpose of the easement? (e.g. pedestrian _|dentify the land/lot(s)
proposed? access) benefitted by the easement

Division 3 — Operational work

Note: This division is a ae tobe ae if. @ a of the wes ee involves ee work.

Road work Stormwater Water infrastructure

Drainage work Sewage infrastructure

Landscaping Signage Clearing vegetation
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