00157AD5.001

'       INTEGRATED PLANNING ACT 1997                                                                                     Part D, Version 2.0, 4 October 2004
                  AS            Form 1        Development Application                                                                         idas

                                  Materialchange                                            ofuse                               =           p
                      assessable against a local government's planning scheme                                                    Ze          J)

                              Completion of all applicable questions on Pari D is mandatory for all applications involving assessment of a
                                        material change of use (MCU) assessable against a local govemments planning scheme.
          Nature of the application             1.   This application is for: (tick 1 or both if applicable)
          A development permit amotses wen              (] Preliminary approval for a material change of use of premises including conceptual
          approval 8 step in the approval orocese          design for any associated works that require approval under the planning scheme (ie.
          and does not authorise development to occur.      consideration of the proposal concept)
                                                        AND JAR
 @                                                          Development permit for a material change of use of premises including conceptual
                                                            design for any associated works that require approval under the planning scheme.
          The subject land                      2.    How the subject land is identified in the planning scheme (name the zone, precinct etc.)
          the planning scheme against which the         ALES.              ELE                           Tv Y.
          application will be assessed.
                                                3.    Existing gross floor area: (if applicable) [ —         ——e—e—eseeT
                                                4.   Are there any existing easements on the land?
                                                        oe
                                                             ES - attach plans of the location and details of the purpose of the easement
           Material change of use details        5.   Details of the change to the use of the land: (eg. vacant ‘and to shopping centre, house to apartment building,
                                                      vacant land to industry (tyre manufacturing) etc.)
                                                        VACANT                 7D        NEIGHOOARILG                       LK EES -

@          Associated building works details ( |      Site cover:
          applicable)                             ,
          For the definition of "site cover’, “gross floor            .
           area” and “storey” go to the planning scheme 9, Gross floor area:  CAL a”                 </
              inst which the application will b
          aecessed. me apres                     10.  Number of on-site car parking spaces:
                                                 11,  Number of storeys / maximum height above natural ground:      [ 2s

                                                 13.  Hours and days the use will operate
           Associated operational works details | 14. Details of associated operational works (eg. landscaping, cut and fill, drainage, road works etc.)
           (if applicable)                                                     xu
                                                          QIAO Ft,                            tk      EG
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                                                                       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 lodgement, fails to provide all applicable information
                                                    requested by Part A and any other relevant part of Form 1.
           OFFICE USE ONLY (applicable fo assessment manager}
                                                                     REFERENCE