DA Form 1

   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 (include                 Number of            Gross floor
   proposed use                                     each definition in a new row)                                   dwelling units (if   area (m2)
                                                                                                                    applicable)          (if applicable)
   Dwelling House                                   Means a residential use of premises involving—                  1                    Refer plans
                                                    ​  one dwelling for a single household and any
                                                       domestic outbuildings associated with the
                                                       dwelling; or
                                                    ​    one dwelling for a single household, a secondary
                                                         dwelling and any domestic outbuildings associated
                                                         with either dwelling.




   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 constructed 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?



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                                                                                                             DA Form 1 – Development application details
                                                                                                                       Version 1.4— 15 December 2023