DA Form 1 · OPW18/0093

Department of Infrastructure, Local Government and Planni

Section 2 — Further development details
7) Does the proposed development application involve any of the following?

 

 

 

 

 

Material change of use LJ Yes — complete division 1 if assessable against a local planning instrument
Reconfiguring a lot (1 Yes — complete division 2

Operational work (2 Yes — complete division 3

Building work [ 1 Yes — complete DA Form 2 — Building work details

 

 

Division 1 — Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a local

planning instrument.
8.1) Describe the proposed material change of use

 

Provide a general description of the Provide the planning scheme definition Number of dwelling Gross floor
proposed use (include each definition in a new row) units (if applicable) area (m2)
(if applicable)

 

 

 

 

 

 

8.2) Does the proposed use involve the use of existing buildings on the premises?

(Yes
(No

 

 

 

 

 

 

Division 2 — Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.

9.1) What is the total number of existing lots making up the premises?

9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)

   
     

 

 

 

(J Subdivision (complete 10) : (1 Dividing land into parts by agreement (complete 11)
(2 Boundary realignment (complete 12)) Oo Creating or changing an easement giving access to a lot from
a construction road (complete 13))

 

  
   
  

  
   
 

10) Subdivision
10.1) For this. development, how many lots are being

Intended use of lots created

created and what is the intended use of those lots:
Commercial

     
  
    

Residential

 

Industrial Other, please specify:

 

 

 

Number of lots created
Teun ett
(1 Yes — provide additional details below
CI No

How many stages will the works include?

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

 

 

 

  

11) Dividing land into parts. by agreement — how many. parts are being created and what is the intended use of the
parts?

Intended use of parts created

     

      
   

      

    

Residential Commercial Industrial Other, please specify:

 

 

Number of parts created

 

 

 

 

 

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DA Form 1 - Development Application details
Version 1.0—3 July 2017