IDAS Forms REC17/0013

                                                                      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