IDAS Forms - OPW14.0226

Email address (non-mandatory requirement) AS, hife FOL

Applicant's reference number (non-mandatory
requirement)

 

 

 

 

@ Vcourapty oleh AMeges 1 COW au
so 7

 

 

 

1.

What Is the nature of the development proposed and what type of approval is being sought?

 

 

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B--Aspact 2.)

 

a)

b)

°)

a)

 

What is the nature of tha development? (Please only tick one box.)
[_] Material change of use] Recontiguring a fot [7] Building work Operational work
What is the approval type? (Please only tick one box.)

[-) Preliminary approval [} Pretiminary approvat [bevelopment permit
under 8241 of SPA under $241 and 8242
of SPA

Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined ag a mulii-unit dwelling, 80 lot residential subdivision etc.)

A.

a “i tnel efter (/1). Whe as SYACE E,
"2. Ohlone MS of bothers Teck

Whatis the level of assessment? (Please only tick one box.)
[7] impact assessment oe

 

VY
Code assessment Lowbegp i brhe Onty .

 

Table B—Aspsct 2 of the application (If there are additional aspects to the application please list in Table C—
Additional aspects of the application.) >

 

a)

b)

¢)

What is the nature of development? (Please only tick one box.)

    
  
    

LD Material change ofuse =] Reconfiguring a fot Cl Building work erational work

What is the approval type? {Please only tick one box.)

[] Preliminary approval J Preliminary approval
under 5241 of SPA under $241 and s242
of SPA

Provide a brief description of the proposal, inclugiag Use definition and number of buildings or structures where
applicable (e.g. six unit apartment buildin ned as a multi-unit dwelling, 30 lot residential subdivision etc.)

 

 

 

 

   
   

  

What is the lev:
act assessment [] Code assessment

assessment?

 

 

Table C—Additional aspects of the application (if there are additional aspects to the application please fist in a
separate table on an extra page and attach to this form.)

 

 

 

&
(4 Reter attached schedule [] Not required MA

 

IDAS form 1-—Appilication detaits
Version 3.0—1 July 2013