0014C22C.001

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           INTEGRATED PLANNING ACT 1997                                                                                           Part F, Version 2.0, 4 October 2004
                                       Form       1   Development Application                                                                         idas
           Yk                                                   figuring                              a       lot                      gS

           Completion of all applicable questions on Part F is mandatory for all applications involving the reconfiguring of a lot {including freehold subdivision, community
                                                                   title subdivision, subdivision by lease, etc.).
           Nature of the application                1.   This application is for: (tick one (1) or both if applicable)
           hooue Pinte cpretininary approval is@ step       a Development permit - provide details below eg. stage 1: freehold subdivision of 25 tots, realignment of a
                             i      ises devel    t                                 .             .                              .                 .
           in the appraval process and does not                boundary, creation of an access easement,
           authorise development to occur.                 amalgmation of three fots to creat two lots and boundary alteration
  @                                                     AND / OR
                                                           (] Preliminary approval -provide details below eg. stages 2, 3 and 4: freehold subdivision of 75 tots,
                                                               = ment of a — creation of an access _

            The information requested in Q2 & 3 is
            necessary for statistical and planning  3.    Total area of land in application: (if staged, total area of the land in this stage)
           Purposes.                                        1515m2
                                                    4.    How the subject land is identified in the planning scheme: (name the zone, precinct etc,
                                                            detached housing
                                                    5.    Current use of the land: (if vacant, also identify the previous use
                                                            detached dwelling
                                                     6.   Are there buildinas or structures existing on the land?
                                                            [JNO
                                                                YES — complete Q7
@                                                    7.  Indicate which one of the following circumstances applies:
                                                            EX] All existing buildings and structures on the land will be demolished as part of the
                                                                development / redevelopment of the site; or
                                                            (_] Some existing buildings and structures on the land are proposed to be retained as part of
                                                                the development / redevelopment of the site - indicate on the plans prepared in response to Question
                                                                6 above, those buildings or structures proposed to be retained
                                                     8.   Existing services on the land:(eg. water & sewerage) - attach plan identifying location if appropriate}
                                                            water and sewer available to site
                                                     9,  Are there any existing easements over the land?
                                                           XI NO
                                                           ["} YES - attach plan identifying easement location & purpose
            The proposal                             10.  Total area of land in the development permit minus any     balance area
            The information requested in Q10-13 is           1515m2
            necessary for statistical and planning
            purposes.                                11.   Number of proposed lots:          two
                                                     12.   Number of additional residential lots proposed in development permit: (if applicable)