0015A1E4.001

INTEGRATED PLANNING ACT 1997                                                                              Part D, Version 2.0, 4 October 2004
                NS             Form 1       Development Application                                                                  [oFts

            4                          aterialchange                                   ofuse                             tek
                     assessable against a local government's planning scheme                                             is
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          fee _            © Completion of all applicable questions ori Part D'is mandatory for all applications involving assessment ofa’ =f
            cynyge., eng woe   Sk    Se material change of use (MCU) assessable against a local governments planning scheme. ©“ eg
          j Nature of the application. ">     [Ae This application is for: ck 1 or both applicable)                  me                     OE
          fale slirpi arlene               v{>   yssie-L] Preliminary approval for a material change of'use of premises including conceptual
          | gpprovalis-a step in te approval protese |» a» ® © design for any. associated works that require approval under thé.planning scheme ie *
          t and does not autharisé development to occur. |. heh consideration of the proposal concept) 3 7 £ # od vee wee Sige em      ie   3
@           Be                                        (7 Development permit for a material change of use of premises including conceptual
          i wee                             “|      ___  design for any associated works that require approval under.the planning scheme. '  |
          j The subject land 4.      °      "19. © How the’subject land is identified in the planning scheme {name the zone, precinct eft.) og
          | he planning scheme against which the, a     Ertes       o      Pv S106         2OnF
          Fapplicaion wilbe assessed. =. |                ee wy                    Pee
          |    Me                 /  .  =  .y[3.  Existing gross floor area: (ifappicabey | AWA
          Poe                                14.  Newer any existing easenients on the land?                                       oo
                         ae             &    fC)        YES - attach plans of the location and details of the purpose of the easement :       i
          (Material. change of use details   5. — Details of the. change to the use of the land: (eg. vacant land to shopping centre; house to apartment building,
           we                   ne          af!   vacant land to industry (tyre manufacturing) efe) ae         :     a

          ' Associated building works details if |p.         Lae [ 3667                               sd)      BR                          as
©         ‘spies                              |, SOO              LEE               Pe                                    ae                  |
          ‘For the definition of “site caver”, “gross floor. —    . “LYfsT.dmr                                        whee gh    gee
          area" end "storey" goto the planning scheme 9: Gross floor area: UL i- S /.3 a                                    a ae
          [seme        Oeanmiaten  ete   "10. Number af on-site cr parking spaces:        [SSCS
           against which the application wilbe °° 7] 35 FON       A                 Le                =                   =                  :
           key   : af     gee   Ba         :   *    .    «  ? Me       ?   de)   gga RT eR                     ——           =     —      :
             tes hus ese vig s              | 14. Number of storeys / maximurn height above natural ground:-. [2S FP 3m                    | "
              AS ge “  :  + gee veg, *a sigat . “  ns    ue    - ~ * -      ar a :     we   -   saan —T     =
          foe       RES 2 ee | 18. Hours and days'the use wit Operate                  [JA
          { Associated operational works details | 14... Details of associated operational works (ea: landscaping, Cut and fill arainage, road works @fe)"~

                                                         .         PLEASE NOTE
                                       This application cannot be accepted unless accompanied by Part A of Form 1.
              The assessment manager may refuse to accept an application that, at the time of ladgement, fails to provide all applicable information     :
                                        .        requested by Part A and any other relevant part of Form 1.
          OFFICE USE ONLY (applicable to assessment manager)                                                                                   :
           Wau acceves                                       egy REFERENCE 932:
           Mecsas)                                         |    nomen