Appendix A - DA Form 1 and Owner's Consent

   6.3) Additional aspects of development
      Additional aspects of development are relevant to this development application and the details for these aspects
   that would be required under Part 3 Section 1 of this form have been attached to this development application
      Not required

Section 2 – Further development details
   7) Does the proposed development application involve any of the following?
   Material change of use                       Yes – complete division 1 if assessable against a local planning instrument
   Reconfiguring a lot                          Yes – complete division 2
   Operational work                             Yes – complete division 3
   Building work                                Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
local planning instrument.
   8.1) Describe the proposed material change of use
   Provide a general description of the                  Provide the planning scheme definition                Number of dwelling       Gross floor
   proposed use                                          (include each definition in a new row)                units (if applicable)    area (m2)
                                                                                                                                        (if applicable)
   Doctor’s Practice                                     Commercial Business Type 2 – Medical                                           100m2



   8.2) Does the proposed use involve the use of existing buildings on the premises?
       Yes
       No

Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
   9.1) What is the total number of existing lots making up the premises?


   9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
       Subdivision (complete 10))                                           Dividing land into parts by agreement (complete 11))
       Boundary realignment (complete 12))                                  Creating or changing an easement giving access to a lot
                                                                            from a construction road (complete 13))

   10) Subdivision
   10.1) For this development, how many lots are being created and what is the intended use of those lots:
   Intended use of lots created               Residential              Commercial                 Industrial            Other, please specify:


   Number of lots created
   10.2) Will the subdivision be staged?
       Yes – provide additional details below
       No
   How many stages will the works include?
   What stage(s) will this development application
   apply to?




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                                                                                                           DA Form 1 – Development Application details
                                                                                                                         Version 1.1— 22 JUNE 2018