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IDAS Forms REC17/0013

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             ,

-                                                                                Department of Infrastructure, Local Government and Planning


    IDAS form 1-Application details
    (Sustainable   Planning Act 2009   version 4.3 effective 5 December 2016)


    This form must be used for ALL development applications.


 You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
 form.

    For all development applications, you must:
    •    complete this form (IDAS form 1-Application   details)
    •    complete any other forms relevant to your application
    •    provide any mandatory supporting information identified on the forms as being required to accompany your
         application.
 Attach extra pages if there is insufficient space on this form.

 All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
 Planning Regulation 2009.

 This form and any other IDAS form relevant to your application must be used for development applications relating to
 strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land under the
 Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it to mean land
 use plan for the strategic port land, Brisbane core port land or airport land.

 PLEASE NOTE: This form is not required to accompany requests for compliance assessment.

I Mandatory requirements
 Applicant details (Note: the applicant is the person responsible for making the application and need not be the owner
 of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is correct.
 Any development permit or preliminary approval that may be issued as a consequence of this application will be issued
 to the applicant.)

 Namels (individual or company name in full)

 For companies, contact name

 Postal address




                                                                     Suburb

                                                                     State                                   Postcode
                                                                     Country

 Contact phone number

 Mobile number (non-mandatory                requirement)

 Fax number (non-mandatory                requirement)




                                                          Isox: .3Q.9.~.....,.R: .. ~      ..   ,I          .•          Queensland
                                                                                                            ~           Government
Full text of the other 15 pages

Page 2

                                                                     Department of Infrastructure, Local Government and Planning


Email address (non-mandatory     requirement)



Applicant's reference number (=-mandatory
                                                     I:~~           rco group- com, g,v
requirement)                                         1                                                           _


1.     What is the nature of the development       proposed      and what type of approval   is being sought?

Table A-Aspect     1 of the application (If there are additional aspects to the application please list in Table B-Aspect2.)
a)   What is the nature of the development?     (Please only tick one box.)

     D Material change of use        [;(   Reconfiguring a lot         D Building work             D Operational work
b)   What is the approval type? (Please only tick one box.)                 /

     D Preliminary approval          D Preliminary approval            ~   Development permit
           under s241 of SPA               under s241 and s242
                                           of SPA




d)
                    -
     What is the level of assessment? (Please only tick one box.)

     D Impact assessment             ffi" Code assessment

Table B-Aspect2     of the application (If there are additional aspects to the application please list in Table C-
Additional aspects of the application.)

a)   What is the nature of development?     (Please only tick one box.)

     D Material change of use        D Reconfiguring a lot             D Building work             D Operational work
b)   What is the approval type? (Please only tick one box.)

     D Preliminary approval          D Preliminary approval            D Development
          under s241 of SPA                under s241 and s242              permit
                                           of SPA
c)   Provide a brief description of the proposal, including use definition and number of buildings or structures where
     applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)




d)   What is the level of assessment?

     D Impact assessment             D Code assessment

Table C-Additional   aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and at1ach to this form.)

     D Refer at1ached schedule D Not required


                                                                                                 IDAS form 1-Application details
                                                                                                  Version 4.3-5 December 2016

Page 3

                                                                                   Department of Infrastructure, Local Government and Planning


     2.         Location   of the premises     (Complete Table D andlor Table E as applicable.           Identify each lot in a separate row.)

     Table D-Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
     adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with water.)
     (Attach a separate schedule if there is insufficient space in this table.)

            D      Street address and lot on plan (All lots must be listed.)

            D      Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
                   development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed.)
     Street address                                                                 Lot on plan description          Local government         area
                                                                                                                     (e.g. Logan, Cairns)
     Lot         Unit      Street   Street name and official suburb!       Post-    Lot no.     Plan type
                 no.       no.      locality name                          code                 and plan no.

     i)         10"        "'1      NOO~A ~PRIN&S                          4%"         G        ~TP IO'102A           l-looc:.A.
     ii)                            DP-Ivt:>.
     iii)                           NOO$A         l-I~1??'
     Planning scheme details (If the premises involves multiple zones, clearly identify the relevant                  zonels for each lot in a
     separate row in the below table. Non-mandatory)
     Lot         Applicable zone! precinct                 Applicable local plan! precinct               Applicable overlay!s
     i)                 .n."..,.. p,., H-nl'~"'~- 1'-1--" ~_._.                          (:l.M~' 1-t14'1tPO-r~",nAL. Ae;,It;>
     ji)                                                                                                    PH,ll.1'
                                                                                                        ~U 1,.           e AReA
     iii)                                                                                                o-t; AHD. .7( - --                     - -t
     Table E-Premises      coordinates (Appropriate for development in remote areas, over part of a lot or in water not                                  I

?    adjoining or adjacent to land e.g. channel dredging in Moreton Baf.) (Ailach
     space in this table.)
                                                                                                 a
                                                                                    separate schedule if there is insufficient                           1
                                                                                                                                                         I
                                                                                                                                                             I




•    Coordinates                                                                    Zone             Datum             Local government                  I
     (Note: place each set of coordinates in a separate row)                        reference                          area (if applicable)              I
     Easting            Northing             Latitude          Longitude                                                                                 I
                                                                                                     D GDA94                                             I
                                                                                                     D WGS84                                             I
                                                                                                     D other                                             I   I




     3. Total area of land on which the development              is proposed       (indicate square metres)                                              l
                                                                                                                                                         I
                                                                                                                                                             I
                                                                                                                                                         I
     4. Current     usels of the premises (e.g. vacant land, house, apartment building, cane farm etc.)
                                                                                                                                                         I
                                                                                                                                                         I

    '----_"'_AcA
             __ "'_1'_l.-A_N_D_,                                                                                    -----,--                         1   !
                                                'j.jC.P~A HGA17; I-1A1'vAAl.- AA"lARD Bu::MP\lW-                                       dl,--~
                                                .ACtO $VU"t\Ai£!. c;,ol~ - OVf;F,tAy-(oM ".4')                                         J


                                                                                                                 IDAS form 1-Applicalion delails
                                                                                                                   Version 4.3 5 December 2016

Page 4

                                                                               Department of Infrastructure. local Government and Planning


5.         Are there any current approvals           (e.g. a preliminary    approval)   associated   with this application?      (Non-
           mandatory requirement)
       ,
G' No              D      Yes-provide    details below


List of approval reference/s                                Date approved (dd/mm/yy)                  Date approval lapses (dd/mm/yy)



6.         Is owner's   consent   required for this application?           (Refer to notes at the end of this foom for more information.)

D No
[if' Yes~omplete           either Table F. Table G or Table H as applicable

Table F

Name of ownerls of the land

IMle, the above-mentioned         ownerls of the land, consent to the making of this application.

Signature of ownerls of the land


Date

Table G

Name of ownerls of the land                   I
D The owner's written consent is attached or will be provided separately to the assessment manager.
Table H

Name of ownerls of the land               T
D By making this application, I, the applicant, declare that the owner has given written consent to the making of the application.
7.     Identify     if any of the following        apply to the premises      (Tick applicable box/es.)

g Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canalHomplete                          Table I

D      On strategic port land under the Transport Infrastructure A~i'1994--{:ompleie                 Table J

D      In a tidal water area~omplete              Table K

D      On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)

D      On airport land under the Airport Assets (Restructuring              and Disposal) Act 2008 (no table requires completion)

D      Listed on either the Contaminated Land Register (CLR) or the Environmental                    Management      Register (EMR) under
       the Environmental Protection Act 1994 (no table requires completion)

Table I

Name of water body, watercourse or aquifer

     t-Aks- ON ~OOSA. SPR1~C:tS GrOL-PCO~.("Z)


                                                                                                               IDAS form 1-Application de/ails
                                                                                                                Version 4.3-5 December 2016

Page 5

                                                                        Department of Infrastructure. Local Government and Planning

Table J

Lot on plan description for strategic port land                            Port authority for the lot

                                                                   .
Table K

Name of local government for the tidal area (if applicable)                Port authority for the tidal area (if applicable)




8.      Are there any existing    easements     on the premises?       (e.g. for vehicular access. electricity. overland flow,
        water etc)

D      No    ~      Yes-ensure     the type. location and dimension of each easement is included in the plans submitted


9.      Does the proposal     include    new building   work or operational         work on the premises?     (Including any
        services)

B      No    D      Yes-ensure     the nature, location and dimension of proposed works are included in plans submitted


10.     Is the payment of a portable long service leave levy applicable               to this application?   (Refer to notes at the
        end of this form for more information.)

~      NCJ--9o to question 11           DYes

10a.    Has the portable    long service    leave levy been paid? (Refer to notes at the end of this form for more
        information.)

D No
D      Yes-complete  Table L and submit. with this application. the local governmenUprivate              certifier's copy of the
       accepted QLeave form

Table L

Amount paid                                                            Date paid          QLeave project number (6 digit number
                                                                       (dd/mm/yy)         starting with A, B. E. L, P or S)




11.    Has the local government agreed to apply a superseded                planning     scheme to this application     under
       section 96 of the Sustainable Planning Act 2009?

Q No
D      Yes-please   provide details below

Name of local government                           Date of written notice given          Reference number of written notice given
                                                   by local government                   by local government (if applicable)
                                                   (dd/mm/yy)




                                                                                                        IDAS form 1-Application details
                                                                                                         Version 4.3-5 December 2016

Page 6

                                                                              Department of Infrastructure, Local Government and Planning


        12.    list below all of the forms and supporting information that accompany this application (Include alilDAS
               forms, checklists, mandatory supporting information etc. that will be submitted as part of this application)

        Description   of attachment    or title of attachment                                          Method of lodgement to
                                                                                                       assessment manager




    113.       Applicant's   declaration


        D   By making this application, I declare that all information in this application is true and correct (Note: it is unlawful to
        provide false or misleading information)

    Notes for completing        this form

    •     Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly-made application.
          Note, the assessment manager has discretion to accept an application as properly made despite any non-
          compliance with the requirement to provide mandatory supporting information under section 260(1 )(c) of the
          Sustainable Planning Act 2009

    Applicant details
    • Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.

    Question 1
    •   Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
        assessment. Where schedule 3 identifies assessable development as "various aspects of development" the
        applicant must identify each aspect of the development on Tables A, Band C respectively and as required.

    Question 6
    • Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for
      an application. Section 260(1 )(e) of the Sustainable Planning Act 2009 provides that if the owner's consent is
      required under section 263, then an application must contain, or be accompanied by, the written consent of the
      owner, or include a declaration by the applicant that the owner has given written consent to the making of the
      application. If a development application relates to a state resource, the application is not required to be supported
      by evidence of an allocation or entillementto a state resource. However, where the state is the owner of the
      subject land, the written consent of the state, as landowner, may be required. Allocation or entillementto the state
      resource is a separate process and will need to be obtained before development commences.

    Question 7
     •  If the premises is listed on either the Contaminated Land Register (CLR) or the Environmental
        Management Register (EMR) under the Environmental Protection Act 1994 it may be necessary to
        seek compliance assessment. Schedule 18 of the Sustainable Planning Regulation 2009 identifies
        where compliance assessment is required.

    Question 10
    • The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long
      service leave levy is payable.
    • The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
      are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2013.




                                                                                                            IDAS form I-Application details
                                                                                                             Version 4.3-5 December 2016


L

Page 7

                                                                         Department of Infrastructure. Local Government and Planning


Question 10a
• The portable long service ieave levy need not be paid when the application is made, but the Building and
  Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
  permit is issued.
• Building and construction industry notification and payment forms can be completed on the QLeave website at
  www.qleave.qld.gov.au.   For further information contact QLeave on 1800 803481.


Privacy-The    information collected in this form will be used by the Department of Infrastructure, Local Government
and Planning (DILGP), assessment manager, referral agency andlor building certifier in accordance with the
processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
the IDAS process or the provisions about public access to planning and development information in the Sustainable
Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
Parliament. This information may be stored in relevant databases. The information collected will be retained as
required by the Public Records Act 2002.


OFFICE USE ONLY

 Date received     ____________                           1   Reference numbers

NOTIFICATION     OF ENGAGEMENT                OF A PRIVATE CERTIFIER

 To                                                           Council. I have been engaged as the private certifier for the
       ~-   -                            -                I   building work referred to in this application

                                                                            BSA Certification license          Building
 Date of engagement               Name
                                                                            number                             classificationls




QLEAVE NOTIFICATION               AND PAYMENT {For completion        by assessment     manager or private certifier     if
applicable.}

                                                                                             Date receipted
                                                                                                                  Name of officer
                                         QLeave project   Amount paid                        form sighted by
 Description of the work                                                        Date paid                         who sighted the
                                         number           {$}                                assessment
                                                                                                                  farm
                                                                                             manaaer




The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required applicatian materials should be sent to your assessment manager and any
referral agency.




                                                                                                     IDAS form I-Application details
                                                                                                      Version 4.3-5 December 2016

Page 8

                       "




                                                                                                           Department of InfraSlructure,      Local Government and Planning




                  IDAS form 7-Reconfiguring a lot
                (Sustainable           Planning Act 2009 version 3.2 effective3 August 2015)


                This form must be used for development applications or requests for compliance assessment for reconfiguring a lot.

                You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
                form.

                For all development applications, you must:
                •          complete IDAS form 1-Application                   details
               •           complete any other forms relevant to your application
               •           provide any mandatory supporting information identified on the forms as being required to accompany your
                           application.

               For requests for compliance assessment, you must:
               •           complete IDAS form 32-Compliance                     assessment
               •           Provide any mandatory supporting information Identified on the forms as being required to accompany your
                           request
               Attach extra pages if there is insufficient space on this form.

               All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
               Planning Regulation 2009.

            I Mandatory                  requirements

               1.            What is the total number of existing                 lots making up the premises?                                    1
               2.            What is the nature of the lot reconfiguration?                    (Tick all applicable boxes.)

               ~                subdivision-{;omplete          questions 3-6 and 11

               D                boundary realignment-{;omplete                questions 8, g and 11

              D                 creating an easement giving access to a lot from a constructed road-{;omplete                       questions 10 and 11
              D                 dividing land into parts by agreement-please                provide details below and complete questions 7 and 11

              3.            Within the subdivision,            what is the number of additional            lots being created and their intended final use?

              Intended final use of new lots                        Residential         Commercial        Industrial          Other-specify
              Number of additional lots
              created                                                     I
              4.            What type of approval             is being sought for the subdivision?

              ~                 Development permit

              D                Preliminary approval

              D                Compliance permit




------------------------------------------                                                                                                                     .
                                                                                                                                                                   •
                                                                                                                                                                   Queensland
                                                                                                                                                                   Govemmenl

Page 9

                                                                          Department of Infrastructure.   Local Government and Planning




 5.     Are there any current approvals        associated    with this subdivision    application   or request?
        (E.g. material change of use.)

 ~      No        o Yes-provide details below
 List of approval reference/s                           Date approved (dd/mm/yy)               Date approval lapses (dd/mm/yy)



 6.     Does the proposal       involve multiple   stages?

 @'     No--complete     Table A           o Yes-complete Table B
 Table A

 a)   What is the total length of any new road to be constructed? (metres)                                tJ01' Apf'/.-ICAFUG
 b)   What is the total area of land to be contributed for community purposes? (square
      metres)                                                                                             NoT Atf'!J~BL1
c)    Does the proposal Involve the construction of a canal or artificial waterway?
      g No             0        Yes.

d)    Does the proposal Involve operational work for the building of a retaining wall?

      G      No        0        Yes


Table B-complete       a new Table B for every stage if the application involves more than one stage
a}

b)

c)
      What Is the proposed estate name? (if known and if applicable)

      What stage in the development does this table refer to?                                             ~I====_
      If a development permit Is being sought for this stage. will the development permit result in additional residential
      lots?

      o No             o Yes-specify the totai number
d)    What is the total area of land for this stage? (square metres)

e)    What is the total length of any new road to be constructed at this stage? (metres)

f)    What is the total area of land to be contributed for community purposes at this stage?
      (square metres)

g)    Does the proposal involve the construction of a canal or artificial waterway?

      o No             DYes

h)    Does the proposal involve operational work for the building of a retaining wall?

      o No             DYes


7.     Lease/agreement     details-how      many parts are being created and what is their intended             final use?

Intended final use of new parts           Residential        Commercial      Industrial         Other-specify
Number of additional parts created




                                                                                                    IDAS form 7-Reconfiguring alaI
                                                                                                        Version 3.2-3 August 2015

Page 10

•.                                                                                       Department of Infrastructure.         Local Government and Planning




      8.        What are the current     and proposed         dimensions     following     the boundary          realignment           for each lot forming
                the premises?

      Current lot                                                                Proposed        lot
      Lot plan description         Area           Length of road frontage        Lot number               Area (square             Length of road frontage
                                   (square                                                                metres)
                                   metres}



      9.        What is the reason for the boundary           realignment?




      1D.      What are the dimensions and nature of the proposed easement? (If there are more than two easements
               proposed please list in a separate table on an extra page and attach to this form.)

      Width (m)            Length (m)    Purpose of the easement (e.g. pedestrian                              What land is benefitted by the
                                         access)?                                                              easement?



                                                                                                                                              -
     I Mandatory supporting information
      11.      Confirm that the following         mandatory    supporting     information       accompanies              this application        or request

      Mandatory       supporting    information                                                          Confirmation         of          Method of
                                                                                                         lodgement                        lodgement
      All applications       and requests    for reconfiguring       a lot

      Site plans drawn to an appropriate scale (1:1 DO, 1:200 or 1:500 are the
      recommended scales) which show the following:
                                                                                                         gConfirmed                                         ~
                                                                                                                                           ~f'ZOO ~",..lIe't~
                                                                                                                                            '-AN
                                                                 ,
      • the location and site area of the land to which the application or request                      .,,/                              $VRveyoR. 'S rt W
         relates (relevant land)
    • the north point
                                                                                -                      -;;- ---                           ~V"'VevOR 's t'1 'I'"
    • the boundaries of the relevant land                                                               ./       ~-                       :-un"   ;,0"01': j; ""   .,
    • any road frontages of the relevant land, including the name of the road                           .,/                              :$ltltvf3yoR'C PUl JoV

  I-
    • the contours and natural ground levels of the relevant land                                       ./                               5"RII~VO~~
                                                                                                                                                  ~                IN
    • the iocation of any existing buildings or structures on the relevant land                         N1A
                                                                                                          , .
      •
      the allotment layout showing existing lots, any proposed lots (including
                                                                                                                             -               --
 -~ne-dimenslons          of those lots), existing or proposed road reserves,
        building envelopes and existing or proposed open space (note:
                                                                                                         Nt".
        numbering is required for all lots)                             -     --
    •   any   drainage features over the relevant land, including any                                   v      "" II.-
        watercourse, creek, dam, waterhole or spring and any iand subject to a
        fiood with an annual exceedance probability of 1%
    • any existing or proposed easements on the relevant land and their                                 v'                                ,,;vR\fl?Yo!,: ••.I tAl
        function                                                                                                                           L--
      • all existing and proposed roads and access points on the relevant land                         .,,/                               svl"{vr::Y"!e'r;: ~ ~
     -oany- eXlStingorproposed          car parking areas on the relevant land
                                                                                                                                                                   -
                                                                                                        "'/A.
      • the location of any proposed retaining walls on the relevant land and                           •.. tJlL.-
            their heinht
      • the location of any stormwater detention on the relevant land                                  •.. 1'1Iv                   -
      • the location and dimension of anv iimd dedicated for communitv                                 •• rilL.-
                                                                                                                           IDAS lorm 7-Reconfiguring  a lot
                                                                                                                                Version 3.2-3 Augusl 2015

Page 11

                                                                      Department of Infrastructure,   Local Government and Planning



      purposes                                                                      I   DE?1 A ~H I?t>
  •   the final intended use of any new lots,                                           I-tOIJSIA/4-.
 For a development application - A statement about how the proposed                 ~   Confirmed
 development addresses the local government's planning scheme and any
 other planning documents relevant to the application,                              R~f~
                                                                                    6o.'TfACHr;=Ch
 For a request for compliance assessment - A statement about how the
 proposed development addresses the mallers or things against which the
 request must be assessed.

 A statement addressing the relevant part(s) of the State Development              ~onfirmed
 Assessment Provisions (SDAP).                                                         Not applicable

Notes for completing this form
•   For supporting information requirements for requests for compliance assessment. please refer to the relevant
    mailers for which compliance assessment will be carried out against. To avoid an action notice, it is recommended
    that you provide as much of the mandatory information listed in this form as possible.

Privacy-Please     refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.



OFFICE USE ONLY

 Date received                                        I Reference numbers
The Sustainable Planning Act 2009 is administered by the Department of Infrastructure. Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                                 IDAS form 7-Reconfiguring a lot
                                                                                                     Version 3.2-3 August 2015

Page 12

             ..
                                                                                             Department of Infrastructure. Local Government and Planning




             Schedule 3 Assessable Development
             Checklist 3-Reconfiguring a lot
             (Sustainable Planning Acl 2009 version 3.2 effective 3 August 2015)


             This checklist only applies when the development application seeks approval for reconfiguring a lot. Before completing
             this checklist. it is recommended you complete Checklist 1-Various aspects of development.
             You may complete this checklist as part of your development application. The checklist will:
             •        help you identify whether you need to make a development application for the proposed development
             •        help you identify the relevant Integrated Development Assessment System (IDAS) form you need to complete as
                      part of your application
             •        assist in identifying the assessment manager or referral agency for development that is assessable development
                      under schedule 3 of the Sustainable Planning Regulation 2009.

             If your development involves a material change of use. operational work or building work. it is recommended                  you
             complete the relevant checklists: Checklist 2-Material change of use, Checklist 4-0perational      work or
             Checklist 5-Building  work where relevant.

             If you are unsure how to answer any questions on this checklist, phone or visit your local government, or go to the
             Department of Infrastructure, Local Government and Planning's (DILGP) website at www.dilgp.gld.gov.au

            All terms used in this checklist have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
            Planning Regulation 2009.

          I Part 1-General                    questions

            1.1          Does the proposal involve reconfiguring   a lot under the Land Title Act 1994 or reconfiguring a lot that is
                         assessable development    under the planning scheme,'a temporary local planning instrument, a
                         preliminary approval to which section 242 of the Sustainable Planning Act 2009 applies, or a state
                         planning regulatory provision?

            D No                     End of checklist

            @" Yes                  Complete part 2 of this checklist


            Part 2-Reconfiguring                    a lot under the Land Title Act 1994

         I 2.1          Do any of the following             apply?

            The reconfiguration requires compliance assessment under schedule 18 of the Sustainable                             [3' Yes      D     No
            Planning Regulation 2009, or

            the reconfiguration                is under a relevant instrument of lease, or
                                                                                                                                DYes         ~No
            the plan of subdivision necessary for the reconfiguration:

            •        is a building format plan of subdivision that does not subdivide land on or below the surface
                                                                                                                                D   Yes      @'No
                     of the land, or

            •        is for amalgamation             of 2 or more lots, or
                                                                                                                                D   Yes     ~No
            •        is for the incorporation, under the Body Corporate and Community Management Act 1997,
                                                                                                                                D   Yes     @"No
                     section 41, of a lot with common property for a community titles scheme, or

            •        is for the conversion, under the Body Corporate and Community Management Act 1997,
                                                                                                                                D Yes       ~No
                     section 43, of lessee common property within the meaning of that Act to a lot in a community




                                                                                                                                             .,
                     titles scheme, or




-------------------------------------------                                                                                                     QuMMl>nd
                                                                                                                                                ~mf'nl

Page 13

                                                                          Department of Infrastruclure,     local Government and Planning



•    is in relation to the acquisition, including by agreement, under the Acquisition of Land Act                  DYes         BNo
      1967 or otherwise, of land by:
     i)      a constructing authority, as defined under that Act, for a purpose set out in parts 1 to 13
             (other than part 10, second dot point) of the schedule to that Act, or
     ii)     an authorised electricity entity, or

•    is for land held by the state, or a statutory body representing the state, and the land is being              DYes         [3'No
     subdivided for a purpose set out in the Acquisition of Land Act 1967, schedule, parts 1 to 13
     (other than part 10, second dot point) whether or not the land relates to an acquisition, or

•    is for reconfiguring a lot comprising strategic port land, or                                                 D    Yes     S No
•    is for reconfiguring a South Bank lot within the corporation area under the South Bank                        D    Yes     [;2JNo
     Corporation Act 1989, or

•    is for the Transport Infrastructure Act 1994, section 240, or                                                 D    Yes     ~No

•    is in relation to the acquisition of land for a water infrastructure facility, or                             D    Yes     [;if No
•    is for land in a priority development area.                                                                   D    Yes     [;2( No
•         If yes to any of the above, and this is the only aspect of your development, then you do not require a
          development permit. End of checklist.
•         If no to all of the above, then your development requires a development permit, and you must submit a
          development application to your local government as assessment manager. Please contact your local
          government for further information. End of checklist.

Privacy-Please   refer to your assessment           manager    or referral agency for further     details on the use of
information recorded in this form.


Disclaimer:
While DILGP believes that the Information contained on this form and provided as part of this process will be of
assistance to you, it is provided on the basis that you will not rely on the information. It is your responsibility to make
your own enquiries regarding the interpretation and application of the applicable legislation to your circumstances.


To the full extent permitted by law, DILGP expressly disclaims all liability (including but not limited to liability for
negligence) for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or other
consequence which may arise from your reliance on this process and the information contained on this form.




OFFICE USE ONLY

Date received      _1                                   1   Reference numbers



The Sustainable Planning Act 2009 is administered by DILGP. This checklist and all other required application
materials should be sent to your assessment manager and any referral agency.




                                                                                                          Checklist 3-Reconfiguring a lot
                                                                                                             Version 3.2-3 Augus' 2015

Page 14

                                                                                                  Department of Infrastructure. Local Government end Plennlng


                                      I



             Schedule 3 Assessable Development
             Checklist 1-Various aspects of development
             (Sustainable Planning Act 2009 version 3.3 effective 3 August 2015)


             This checklist applies to the carrying out of various aspects of development, as specified in the Sustainable Planning
             Regulation 2009, Schedule 3, Part 1, Table 5.

             You may complete this checklist as part of your development application. The checklist will:
             •         help you identify whether you need to make a development                  application for the proposed development
             •         help you identify the relevant Integrated Development Assessment System (IDAS) form you need to complete as
                       part of your application
             •         assist in identifying the assessment manager or referral agency for development that is assessable development
                       under schedule 3 of the Sustainable Planning Regulation 2009.

             If your development involves a material change of use, reconfiguring a lot, operational work or building work, it is
             recommended you complete the relevant checklists: Checklist 2-Material      change of use, Checklist 3-Reconfiguring                        a
             lot: Checklist 4-0perational work, or Checklist 5-Building  work.

             If you are unsure how to answer any questions on this checklist, phone or visit your local government, or go to the
             Department of Infrastructure, Local Government and Planning's (DILGP) website at www.dilgp.gld.gov.au.

             All terms used in this checklist have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
             Planning Regulation 2009.

         I Part 1-General                     questions

             1.1          Is any part of the proposed development intended                   to be carried out on a Queensland      heritage   place
                          under the Queensland Heritage Act 199Z?


             [{] No                       •   Continue to question 1.2

             D
                       Yes                •   Complete part 2 of this checklist


             1.2          Does the proposal               involve   development   on a local heritage   place?

                       No                 •   Continue to question 1.3
             ~
                       Yes                •   Complete part 3 of this checklist
             D

             1.3          Is any part of the development  on strategic port land or airport land (other than development for a
                          material change of use that is inconsistent with the land use plan for the strategic port land or airport
                          land mentioned in the Sustainable Planning Regulation 2009, Schedule 3, Part 1, Table 2, item 3 or 4)?

                       No                 •   End of checklist - A development permit is not required for this aspect of development       under
                                              Sustainable Planning Regulation 2009, Schedule 3, Part 1, Table 5

             DYes                         •   Complete part 4 of this checklist


         I   Part 2-Queensland                    heritage     place

             2.1           Do any of the following             apply to the proposal?




------------------------------------------'
                                                                                                                                                   .,
                                                                                                                                                   _"Nil
                                                                                                                                                        1 '

Page 15

                                                                            Department of Inrrastructure, Local Government and Planning



    The proposed development is only ongoing maintenance or minor work permitted by a general                DVesD            No
    exemption certificate issued under section 75 of the Queensland Herilage Act 1992.

    An exemption certificate has been issued under the Queensland Heritage Ac11992.                         DVesD             No

    The proposed development is liturgical development under section 78 of the Queensland                    DVesD            No
    Heritage Act 1992.

    The work is being carried out by the state.                                                              DVesD            No

    The work is being carried out in a priority development area.                                            DVesD            No

    The development is mentioned in schedule 4 of the Sustainable Planning Regulation 2009.                  DVesD            No


    •     If you answered no to all of the above, a development permit is required and this application requires assessment
          by the chief executive of DILGP as assessment manager or concurrence agency against the Queensland Heritage
          Place State Code in the SOAP.
    •     Your application must include IDAS form 3-Queensland          heritage place.
    •     If you answered yes to any of the above, a development permit is not required. End of part 2 of this checklist.


    Section reference:
    •     Sustainable Planning Regulation 2009, schedule 3, part 1, table 5, item 2
    •     Sustainable Planning Regulation 2009, schedule 7, table 2, item 19


I   Part 3-Local       heritage   place

    3.1    Do any of the following        apply to the proposal?

    The development is building works to be carried out by or on behalf of the state, a public               DVesD            No
    sector entity or a local government

    The development is for public housing                                                                    DVesD            No

    The development is to be carried out by the state on land designated for community                       DVesD            No
    infrastructure under the Sustainable Planning Act 2009.

    The development is mentioned in schedule 4 of the Sustainable Planning Regulation 2009.                  DVesD            No

    The local heritage place is on an airport lessee's airport land under the Airport Assets                 DVesD            No
    (Restructuring and Disposal) Act 2008.

    •     If you answered no to all of the above, a development permit is required and your application to the local
          government, as assessment manager, must include IDAS form 4-Local heritage place.
    •     If you answered yes to any of the above, a development permit is not required.


    Section reference:
    •     Sustainable Planning Regulation 2009, schedule 3, part 1, table 5, item 3
    •     Sustainable Planning Regulation 2009, schedule 3, part 2, table 1, item 1
    •     Airports Assets (Restructuring     and Disposal) Act 2008, section 54


I Part 4-Strategic         port land or airport   land

    4.1    Does the land use plan for the strategic        port land or airport   land state that the development    is
           assessable development?


    o No           •      A development permit is not required for this aspect of development; end of this checklist.



                                                                                      Checklist I-Various  aspects of development
                                                                                                       Version 3.3-3 August 2015

Page 16

                                                                           Department of Infrastructure, Local Government and PlannIng



DYes          •       A development   permit is required and your application may include, where applicable:
                      •   for a material change of use-IDAS       form 5-Malerial     change of use assessable againsf a
                          planning scheme
                      •   for building or operational work-IDAS        form 6--Building   or operational work assessable against
                          a planning scheme
                      •   for reconfiguring a lot-IDAS    form 7-Reconfiguring       a lot
              •       The assessment manager will either be the local government or the port authority or DILGP.

Section reference:
•    Sustainable Planning Regulation 2009, schedule 3, part 1, table 5, items 6 and 7


Privacy-Please        refer to your assessment    manager for further       details on the use of information     recorded   in
this checklist.


Disclaimer:
While DILGP believes that the information contained on this checklist and provided as part of this process will be of
assistance to you, it is provided on the basis that you will not rely on the information. It is your responsibility to make
your own enquiries regarding the interpretation and application of the applicable legislation to your circumstances.


To the full extent permitted by law, DILGP expressly disclaims all liability (including but not limited to liability for
negligence) for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or other
consequence which may arise from your reliance on this process and the information contained on this checklis!.




OFFICE USE ONLY

Date received     1                                      1 Reference    numbers



The Suslainable Planning Acl 2009 is administered by DILGP. This checklist and all other required application
materials should be sent to your assessment manager and any referral agency.




                                                                                     Checklist I-Various aspects of development
                                                                                                       Version 3.3-3 August 2015

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