001A7F18.001

INJEGRA IED PLANNING ALI 199/                                                                                      -     Part E-Version 3.2
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         |                    RomiDaceuictAaiieien                                                             |                     es

                                               Building &/or operational works assessable
                                                           against a planning scheme’
        INature ofthe works                   eo                                                                                                       }
          1. Nature of work that requires assessment against a planning scheme:
                 [_] Building work - Complete Table A                Operational work - Complete Table B
              Table B
                    (i) What is the nature of the operational work?
                         (] Roadworks               [_] Stormwater                    [_] Water infrastructure          [_] Sewerage infrastructure
                         [_] Landscaping            [_] Earthworks                    {_] Drainage Works                [_] Signage
  ©                      [_] Clearing vegetation under the planning scheme                 Other - Specify below
                         Access, stormwater, water and sewer reticulation
                    (ii) What type of approval is being sought? (NOTE: if you have indicated multiple operational works in question {i} above and your answers to this
                         question would be different for different operational work, it may be more appropriate to provide these details in an attachment to this form)
                              Development Permit                       [_] Preliminary approval                      [] Both (Specify below)
                    (iii) 1s the operational work necessary to facilitate the creation of new lots (ie. subdivision)?                                 .
                         [_] No         Yes - Specify the number of lots being created

                    (iv) Are there any current approvals associated with this application? (e.g. Development Permit or Preliminary Approval for MCU or reconfiguring
                        a lof}
                         [_] No         Yes - Complete Table B(a)
                        Table B(a)            rm         _ List of approval references.   a     |. Date approved. |    Date approval lapses (if known) : 3
                                              2007/1490                                           18-Jan-2008       18/01/2012

          2.  Whatis the dollar value of this operational work? (i.e. the total value including GST, materials and labour)
          Mandatory Information        3.   0      et                                                         Pe                    ane        '    “I
          3.  Corifirm that the following mandatory information accompanies this application
                                                                                                                ‘Confirmation Of: | ying     vpicdmetnant
              Plans, andspeciications if applicable, showing the nature and location of the proposed works {including the Confirmed

            OFFICE USE ONLY
              Date Received                              Reference Numbers        |