IDAS Forms REC17/0013

                                                                     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