001AD296.001

INTEGRATED PLANNING ACT 1997                                                                                           Part E, Version 3.2
            XX       %        Form 1        Development Application                                                               Tercls
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                                                                Part                 E                               [Yeo                             a
                                                                                                                             ance’ ED                Ne
                                             Building &/or operational works assessable                             ef          AC we qn               i
                                                 pope                      .                                                                           be.
                                                         against a planning scheme!                                                      et ah        fp
                                                                                                                               GU? gounlel          Ln,

        4. Nature of work that requires assessment against a planning scheme:
               [_] Building work - Complete Table A            (X] Operational work - Complete Table B
            Table B
@                 (i)  What is the nature of the operational work?
                        [_] Roadworks             [_] Stormwater                   ([] Water infrastructure          [-] Sewerage infrastructure
                        {"] Landscaping           {[] Earthworks                   {_] Drainage Works                [[] Signage
                        [L] Clearing vegetation under the planning scheme               Other - Specify below
                        Timber Jetty
                  (ii) What type of approval is being sought? (NOTE: if you have indicated multiple operational works in question (i) above and your answers to this
                       question would be different for different operational work, it may be more appropriate to provide these details in an atiachment to this form)
                        §X] Development Permit                       [_] Preliminary approval                     [-] Both (Specify below)
                   (iii) Is the operational work necessary to facilitate the creation of new lots (ie. subdivision)?
                        Bq No      [| Yes - Specify the number of lots being created
                   (Iv) Are there any current approvals associated with this application? (e.g. Development Permit or Preliminary Approval for MCU or reconfiguring
                       a tot}
                        [XJNo      [_] Yes - Complete Table B(a)

         2.  What is the dollar value of this operational work? (ie. the total vaiue including GST, materials and labour) |$ 15000

          3. Confirm that the following mandatory information accompanies this application
                                                                                                              = Contemation off. [em ee cog eee
              Plans, andspeofctons if applicable, showing the nature and location of the proposed WOTKS (including the Confirmed
                                                                                                                    I
           OFFICE USE ONLY
              Date Received                             Reterncenumbors          [Td
          Advice for completing Part E
          General advice
          *    Part A must atso be completed far ail IDAS devetopment applications.
          js   The applicant is responsible for answering all questions fully and correctly, unless following a response there is a statement to go directly (0 another question.