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IDAS Forms REC17/0013

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                                                                          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

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