Application Receival Checklist, Forms and Plans

                                          CHECKING OF FORMS AND INI-'iMATION
 All Applications
 Has the correct number of copies been                  q Yes F1 No Number of copies:
 provided
                                                        Electronic copy(s) supplied   q Yes     q No details
 (SCRC standard TBA):
 General -MCU/ROL/BLDA/OPW (Not applicable for a Request for Compliance Assessment or Change)
 Is IDAS Form 1 completed in full?                      Clearly itemise any outstanding items that are mandatory
 []Yes
   ] No




 Are all other required forms complete in full         Clearly itemise any outstanding relevant forms, incomplete sections and missed
 and all mandatory info provided for each?             mandatory information
    Yes
    No




 Request to Change Existing Approval and/or Extension to Relevant Period OR Request for Pre-request Response Notice:
 Is the relevant Council form completed                Clearly itemise any outstandinq items
 including ALL questions and supporting
 items? (unless the farm indicates otherwise)
 ]_] Yes
 (_INo
Request for Compliance Assessment:
Is Form 32 completed including ALL questions           Clearly itemise any outstanding items:
and supporting items? (unless the form
indicates otherwise)
(_1 Yes
q No


Properly Made Check: (Not applicable for a Request for Compliance Assessment or Change)
Is the Application currently considered 'Properly Made' based on the information
provided? Check:
 Owners consent
 Fees
 Mandatory Information


Administration:
Generated Application #:                        Date Received:                                  Receive d By:'-
                                                Office Location:                                Name:                    r A,l -4-
                  C^V^j tU

Statistical Information:
                     MCU                                ROL or Subdivision Plans                                   OPW
GFA (ml) Res:       Non Res:                    Existing Lots.    Created Lots                  Existing Lots:     Created Lots
TOTAL GFA (m2):                                 Total Lots:                                     Total Lots
Height (m):     Storeys                         No of Units (BFP):                              Existing Site Area (ha):
No. of Units:                                   Existing Site Area (ha):                        Proposed Dev Are a:
Car spaces:                                     Proposed Dev Area:


Checklist for Child Application Associations to be Recreated
q Applicants 'ramApplict'        q Child Primary Property 'ramPrPrdpC'            q Child Related Land 'ramLandC'
q Consultants 'ramConsult'       q Child Primary Land 'ramPrLandC'                q Child Referral Agency ramRefConc (or refAdv)
q Owners (all) 'ramOwner'        q Child Related Property 'ramPropC'              Cl Associated Application 'ramAssApp'




PD-DA-FM412/2.19107/2010                                                                                                 Page 2 of