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IDAS Forms

Attached to the e-mail MCU15/0095 & REC15/0022 IDAS Forms, Report & Plans (1 of 3).

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IDAS form 1—Application details
(Sustainable Planning Act 2009 version 4.2 effective 3 August 2015)

This form must be used for ALL development applications.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
     complete this form (IDAS form 1—Application details)
     complete any other forms relevant to your application
    provide any mandatory supporting information identified on the forms as being required to accompany your
     application.
Attach extra pages if there is insufficient space on this form.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.

This form and any other IDAS form relevant to your application must be used for development applications relating to
strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land under the
Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it to mean land
use plan for the strategic port land, Brisbane core port land or airport land.

PLEASE NOTE: This form is not required to accompany requests for compliance assessment.

Mandatory requirements

Applicant details (Note: the applicant is the person responsible for making the application and need not be the owner
of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is correct.
Any development permit or preliminary approval that may be issued as a consequence of this application will be issued
to the applicant.)

Name/s (individual or company name in full)                    Synergy Property Partners C/- TFA Project Group


For companies, contact name                                   John Rowell

Postal address                                                PO Box 301




                                                              Suburb        Albion
                                                              State         QLD                    Postcode      4010
                                                              Country       Australia

Contact phone number                                          07 3854 2923

Mobile number (non-mandatory requirement)

Fax number (non-mandatory requirement)
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Email address (non-mandatory requirement)             [email protected]

Applicant’s reference number (non-mandatory           15193
requirement)

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—Aspect 2.)
a)   What is the nature of the development? (Please only tick one box.)
         Material change of use            Reconfiguring a lot          Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval              Preliminary approval         Development permit
          under s241 of SPA                 under s241 and s242
                                            of SPA
c)   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 as a multi-unit dwelling, 30 lot residential subdivision etc.)
     Service station and ancillary shop, one canopy, 10 car parking spaces

d)   What is the level of assessment? (Please only tick one box.)
         Impact assessment                 Code assessment


Table B—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—
Additional aspects of the application.)
a)   What is the nature of development? (Please only tick one box.)
         Material change of use            Reconfiguring a lot          Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval              Preliminary approval         Development
          under s241 of SPA                 under s241 and s242          permit
                                            of SPA
c)   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 as a multi-unit dwelling, 30 lot residential subdivision etc.)
     Reconfiguration of a Lot (1 into 2)

d)   What is the level of assessment?
         Impact assessment                 Code assessment


Table C—Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)
         Refer attached schedule           Not required




                                                                                              IDAS form 1—Application details
                                                                                                  Version 4.2—3 August 2015

Page 3

2.     Location of the premises (Complete Table D and/or Table E as applicable. Identify each lot in a separate row.)

Table D—Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with water.)
(Attach a separate schedule if there is insufficient space in this table.)
           Street address and lot on plan (All lots must be listed.)
           Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
           development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed.)
Street address                                                          Lot on plan                    Local government area
                                                                        description                    (e.g. Logan, Cairns)

Lot       Unit     Street      Street name and official      Post-      Lot no.      Plan type
          no.      no.         suburb/ locality name         code                    and plan no.

i)                 115         Eumundi- Noosa Road,                     30           SP170751          Noosa
                               Noosaville
ii)
iii)
Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
separate row in the below table. Non-mandatory)
Lot       Applicable zone / precinct              Applicable local plan / precinct           Applicable overlay/s
i)        Industry                                Noosaville Locality                        NIL
ii)
iii)

Table E—Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)
Coordinates                                                               Zone          Datum               Local government
(Note: place each set of coordinates in a separate row)                   reference                         area (if applicable)
Easting          Northing              Latitude       Longitude
                                                                                               GDA94
                                                                                               WGS84
                                                                                               other

3. Total area of the premises on which the development is proposed (indicate square metres)

5018m2 (Service station to be over proposed lot 1 comprising 2444m2)

4. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm etc.)

Vacant




                                                                                                       IDAS form 1—Application details
                                                                                                           Version 4.2—3 August 2015

Page 4

5.     Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
       mandatory requirement)

       No              Yes—provide details below

List of approval reference/s                          Date approved (dd/mm/yy)                  Date approval lapses (dd/mm/yy)



6.     Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)

       No
       Yes—complete either Table F, Table G or Table H as applicable

Table F
Name of owner/s of the land
I/We, the above-mentioned owner/s of the land, consent to the making of this application.
Signature of owner/s of the land


Date

Table G
Name of owner/s of the land                 Lutheran Church of Australia Queensland District

     The owner’s written consent is attached or will be provided separately to the assessment manager.

Table H
Name of owner/s of the land

     By making this application, I, the applicant, declare that the owner has given written consent to the making of the application.

7.     Identify if any of the following apply to the premises (Tick applicable box/es.)

       Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table I
       On strategic port land under the Transport Infrastructure Act 1994—complete Table J

       In a tidal water area—complete Table K
       On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
       On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

       Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
       the Environmental Protection Act 1994 (no table requires completion)

Table I
Name of water body, watercourse or aquifer




                                                                                                       IDAS form 1—Application details
                                                                                                           Version 4.2—3 August 2015

Page 5

Table J
Lot on plan description for strategic port land                      Port authority for the lot



Table K
Name of local government for the tidal area (if applicable)          Port authority for the tidal area (if applicable)



8.    Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow,
      water etc)

      No          Yes—ensure the type, location and dimension of each easement is included in the plans submitted

9.    Does the proposal include new building work or operational work on the premises? (Including any
      services)

      No          Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

10.   Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the
      end of this form for more information.)

      No—go to question 12               Yes

11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
      information.)

      No
      Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the
      receipted QLeave form

Table L
Amount paid                                                       Date paid        QLeave project number (6 digit number
                                                                  (dd/mm/yy)       starting with A, B, E, L or P)



12.   Has the local government agreed to apply a superseded planning scheme to this application under
      section 96 of the Sustainable Planning Act 2009?

      No
      Yes—please provide details below

Name of local government                          Date of written notice given   Reference number of written notice given
                                                  by local government            by local government (if applicable)
                                                  (dd/mm/yy)




                                                                                                  IDAS form 1—Application details
                                                                                                      Version 4.2—3 August 2015

Page 6

 13.    List below all of the forms and supporting information that accompany this application (Include all IDAS
        forms, checklists, mandatory supporting information etc. that will be submitted as part of this application)

 Description of attachment or title of attachment                                              Method of lodgement to
                                                                                               assessment manager
 IDAS Forms 1, 5 & 7                                                                           Email
 Town Planning Assessment Report                                                               Email
 DA Design Drawings                                                                            Email
 Cover letter                                                                                  Email
 Relevant supporting documentation                                                             Email

 14.    Applicant’s declaration

    By making this application, I declare that all information in this application is true and correct (Note: it is unlawful to
 provide false or misleading information)

Notes for completing this form

 Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly-made application.
  Note, the assessment manager has discretion to accept an application as properly made despite any non-
  compliance with the requirement to provide mandatory supporting information under section 260(1)(c) of the
  Sustainable Planning Act 2009

Applicant details
 Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.

Question 1
 Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
   assessment. Where schedule 3 identifies assessable development as “various aspects of development” the
   applicant must identify each aspect of the development on Tables A, B and C respectively and as required.

Question 6
 Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for
  an application. Section 260(1)(e) of the Sustainable Planning Act 2009 provides that if the owner’s consent is
  required under section 263, then an application must contain, or be accompanied by, the written consent of the
  owner, or include a declaration by the applicant that the owner has given written consent to the making of the
  application. If a development application relates to a state resource, the application is not required to be supported
  by evidence of an allocation or entitlement to a state resource. However, where the state is the owner of the
  subject land, the written consent of the state, as landowner, may be required. Allocation or entitlement to the state
  resource is a separate process and will need to be obtained before development commences.

Question 7
 If the premises is listed on either the Contaminated Land Register (CLR) or the Environmental
   Management Register (EMR) under the Environmental Protection Act 1994 it may be necessary to
   seek compliance assessment. Schedule 18 of the Sustainable Planning Regulation 2009 identifies
   where compliance assessment is required.

Question 11
 The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long
  service leave levy is payable.
 The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
  are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.




                                                                                                    IDAS form 1—Application details
                                                                                                        Version 4.2—3 August 2015

Page 7

Question 12
 The portable long service leave levy need not be paid when the application is made, but the Building and
  Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
  permit is issued.
 Building and construction industry notification and payment forms are available from any Queensland post office or
  agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For
  further information contact QLeave on 1800 803 481 or visit www.qleave.qld.gov.au.


Privacy—The information collected in this form will be used by the Department of Infrastructure, Local Government
and Planning (DILGP), assessment manager, referral agency and/or building certifier in accordance with the
processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
the IDAS process or the provisions about public access to planning and development information in the Sustainable
Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
Parliament. This information may be stored in relevant databases. The information collected will be retained as
required by the Public Records Act 2002.


OFFICE USE ONLY

 Date received                                        Reference numbers

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 To                                                   Council. I have been engaged as the private certifier for the
                                                      building work referred to in this application

                                                                     BSA Certification license         Building
 Date of engagement        Name
                                                                     number                            classification/s




QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
applicable.)
                                                                                     Date receipted
                                                                                                          Name of officer
                                  QLeave project    Amount paid                      form sighted by
 Description of the work                                                Date paid                         who sighted the
                                  number            ($)                              assessment
                                                                                                          form
                                                                                     manager




The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                             IDAS form 1—Application details
                                                                                                 Version 4.2—3 August 2015

Page 8

IDAS form 5—Material change of use assessable
against a planning scheme
(Sustainable Planning Act 2009 version 3.1 effective 3 August 2015)

This form must be used for development applications for a material change of use assessable against a planning
scheme.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
     complete IDAS form 1—Application details
     complete any other forms relevant to your application
    provide any mandatory supporting information identified on the forms as being required to accompany your
     application.
Attach extra pages if there is insufficient space on this form.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.

This form must also be used for material change of use on strategic port land and Brisbane core port land under the
Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act 2008 that
requires assessment against the land use plan for that land. Whenever a planning scheme is mentioned, take it to
mean land use plan for the strategic port land, Brisbane core port land or airport land.

Mandatory requirements

1.     Describe the proposed use. (Note: this is to provide additional detail to the information provided in question 1
       of IDAS form 1—Application details. Attach a separate schedule if there is insufficient space in this table.)

General explanation of the             Planning scheme definition        No. of dwelling units   Days and          No. of
proposed use                           (include each definition in a     (if applicable) or      hours of          employees
                                       new row) (non-mandatory)          gross floor area (if    operation         (if applicable)
                                                                         applicable)             (if applicable)
  MCU – Service Station                Retail Business Type 5            254sqm                  24/7              N/A
 and shop                              (Service Station)
                                       Retail Business Type 2 (Shop)




2.     Are there any current approvals associated with the proposed material change of use?
       (e.g. a preliminary approval.)

       No                Yes—provide details below

List of approval reference/s                              Date approved (dd/mm/yy)           Date approval lapses (dd/mm/yy)

Page 9

3.     Does the proposed use involve the following? (Tick all applicable boxes.)

The reuse of existing buildings on the premises                   No                Yes
New building work on the premises                                 No                Yes
The reuse of existing operational work on the premises            No                Yes
New operational work on the premises                              No                Yes

Mandatory supporting information

4.     Confirm that the following mandatory supporting information accompanies this application

Mandatory supporting information                                                   Confirmation of      Method of
                                                                                   lodgement            lodgement
All applications
A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are                  Confirmed
recommended scales) which shows the following:
    the location and site area of the land to which the application relates
     (relevant land)
    the north point
    the boundaries of the relevant land
    any road frontages of the relevant land, including the name of the road
    the location and use of any existing or proposed buildings or structures
     on the relevant land (note: where extensive demolition or new buildings
     are proposed, two separate plans [an existing site plan and proposed site
     plan] may be appropriate)
    any existing or proposed easements on the relevant land and their
     function
    the location and use of buildings on land adjoining the relevant land
    all vehicle access points and any existing or proposed car parking areas
     on the relevant land. Car parking spaces for persons with disabilities and
     any service vehicle access and parking should be clearly marked
    for any new building on the relevant land, the location of refuse storage
    the location of any proposed retaining walls on the relevant land and their
     height
    the location of any proposed landscaping on the relevant land
    the location of any stormwater detention on the relevant land.

A statement about how the proposed development addresses the local                    Confirmed
government’s planning scheme and any other planning instruments or
documents relevant to the application.
A statement about the intensity and scale of the proposed use (e.g. number            Confirmed
of visitors, number of seats, capacity of storage area etc.).
Information that states:                                                              Confirmed
    the existing or proposed floor area, site cover, maximum number of               Not applicable
     storeys and maximum height above natural ground level for existing or
     new buildings (e.g. information regarding existing buildings but not being
     reused)
    the existing or proposed number of on-site car parking bays, type of
     vehicle cross-over (for non-residential uses) and vehicular servicing
     arrangement (for non-residential uses).



                                                                               IDAS form 5—Material change of use assessable
                                                                                                   against a planning scheme
                                                                                                 Version 3.1—3 August 2015

Page 10

 A statement addressing the relevant part(s) of the State Development                   Confirmed
 Assessment Provisions (SDAP).                                                          Not applicable
When the application involves the reuse of existing buildings

Plans showing the size, location, existing floor area, existing site cover,             Confirmed
existing maximum number of storeys and existing maximum height above                    Not applicable
natural ground level of the buildings to be reused.

When the application involves new building work (including extensions)

Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are                     Confirmed
recommended scales) which show the following:
   the north point
   the intended use of each area on the floor plan (for commercial, industrial
    or mixed use developments only)
   the room layout (for residential development only) with all rooms clearly
    labelled
   the existing and the proposed built form (for extensions only)
   the gross floor area of each proposed floor area.
Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are                     Confirmed
recommended scales) which show plans of all building elevations and
facades, clearly labelled to identify orientation (e.g. north elevation)

Plans showing the size, location, proposed site cover, proposed maximum                 Confirmed
number of storeys, and proposed maximum height above natural ground level               Not applicable
of the proposed new building work.
 When the application involves reuse of other existing work
 Plans showing the nature, location, number of on-site car parking bays,                Confirmed
 existing area of landscaping, existing type of vehicular cross-over (non-              Not applicable
 residential uses), and existing type of vehicular servicing arrangement (non-
 residential uses) of the work to be reused.
 When the application involves new operational work
 Plans showing the nature, location, number of new on-site car parking bays,            Confirmed
 proposed area of new landscaping, proposed type of new vehicle cross-over              Not applicable
 (non-residential uses), proposed maximum new vehicular servicing
 arrangement (non-residential uses) of the proposed new operational work.


Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.


OFFICE USE ONLY

 Date received                                        Reference numbers

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                 IDAS form 5—Material change of use assessable
                                                                                                     against a planning scheme
                                                                                                   Version 3.1—3 August 2015

Page 11

IDAS form 7—Reconfiguring a lot
(Sustainable Planning Act 2009 version 3.2 effective3 August 2015)

This form must be used for development applications or requests for compliance assessment for reconfiguring a lot.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
     complete IDAS form 1—Application details
     complete any other forms relevant to your application
     provide any mandatory supporting information identified on the forms as being required to accompany your
      application.

For requests for compliance assessment, you must:
     complete IDAS form 32—Compliance assessment
    Provide any mandatory supporting information identified on the forms as being required to accompany your
     request
Attach extra pages if there is insufficient space on this form.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.

Mandatory requirements

1.     What is the total number of existing lots making up the premises?

2.     What is the nature of the lot reconfiguration? (Tick all applicable boxes.)

         subdivision—complete questions 3–6 and 11
         boundary realignment—complete questions 8, 9 and 11
         creating an easement giving access to a lot from a constructed road—complete questions 10 and 11
         dividing land into parts by agreement—please provide details below and complete questions 7 and 11

3.     Within the subdivision, what is the number of additional lots being created and their intended final use?

Intended final use of new lots            Residential      Commercial   Industrial   Other—specify
Number of additional lots                                               1
created

4.     What type of approval is being sought for the subdivision?

         Development permit
         Preliminary approval
         Compliance permit

Page 12

5.    Are there any current approvals associated with this subdivision application or request?
      (E.g. material change of use.)

      No             Yes—provide details below

List of approval reference/s                      Date approved (dd/mm/yy)              Date approval lapses (dd/mm/yy)



6.    Does the proposal involve multiple stages?

      No—complete Table A                     Yes—complete Table B

Table A
a)   What is the total length of any new road to be constructed? (metres)                         Nil
b)   What is the total area of land to be contributed for community purposes? (square             nil
     metres)
c)   Does the proposal involve the construction of a canal or artificial waterway?
           No                  Yes
d)   Does the proposal involve operational work for the building of a retaining wall?
           No                  Yes


Table B—complete a new Table B for every stage if the application involves more than one stage
a)   What is the proposed estate name? (if known and if applicable)
b)   What stage in the development does this table refer to?
c)   If a development permit is being sought for this stage, will the development permit result in additional residential
     lots?
           No                  Yes—specify the total number

d)   What is the total area of land for this stage? (square metres)
e)   What is the total length of any new road to be constructed at this stage? (metres)
f)   What is the total area of land to be contributed for community purposes at this stage?
     (square metres)
g)   Does the proposal involve the construction of a canal or artificial waterway?
           No                  Yes
h)   Does the proposal involve operational work for the building of a retaining wall?
           No                  Yes


7.    Lease/agreement details—how many parts are being created and what is their intended final use?

Intended final use of new parts          Residential    Commercial       Industrial       Other—specify
Number of additional parts created




                                                                                              IDAS form 7—Reconfiguring a lot
                                                                                                  Version 3.2—3 August 2015

Page 13

8.      What are the current and proposed dimensions following the boundary realignment for each lot forming
        the premises?

Current lot                                                      Proposed lot
Lot plan description      Area        Length of road frontage    Lot number       Area (square   Length of road frontage
                          (square                                                 metres)
                          metres)



9.      What is the reason for the boundary realignment?




10.     What are the dimensions and nature of the proposed easement? (If there are more than two easements
        proposed please list in a separate table on an extra page and attach to this form.)

Width (m)        Length (m)     Purpose of the easement (e.g. pedestrian             What land is benefitted by the
                                access)?                                             easement?
17.5m            27.25m         Access                                               Proposed Lot 2

Mandatory supporting information

11.     Confirm that the following mandatory supporting information accompanies this application or request

Mandatory supporting information                                                  Confirmation of       Method of
                                                                                  lodgement             lodgement
All applications and requests for reconfiguring a lot
Site plans drawn to an appropriate scale (1:100, 1:200 or 1:500 are the              Confirmed
recommended scales) which show the following:
 the location and site area of the land to which the application or request
      relates (relevant land)
     the north point
     the boundaries of the relevant land
     any road frontages of the relevant land, including the name of the road
     the contours and natural ground levels of the relevant land
     the location of any existing buildings or structures on the relevant land
     the allotment layout showing existing lots, any proposed lots (including
      the dimensions of those lots), existing or proposed road reserves,
      building envelopes and existing or proposed open space (note:
      numbering is required for all lots)
     any drainage features over the relevant land, including any
      watercourse, creek, dam, waterhole or spring and any land subject to a
      flood with an annual exceedance probability of 1%
     any existing or proposed easements on the relevant land and their
      function
     all existing and proposed roads and access points on the relevant land
     any existing or proposed car parking areas on the relevant land
     the location of any proposed retaining walls on the relevant land and
      their height
     the location of any stormwater detention on the relevant land
     the location and dimension of any land dedicated for community
      purposes
     the final intended use of any new lots.


                                                                                             IDAS form 7—Reconfiguring a lot
                                                                                                 Version 3.2—3 August 2015

Page 14

 For a development application – A statement about how the proposed                Confirmed
 development addresses the local government’s planning scheme and any
 other planning documents relevant to the application.
 For a request for compliance assessment – A statement about how the
 proposed development addresses the matters or things against which the
 request must be assessed.
 A statement addressing the relevant part(s) of the State Development              Confirmed
 Assessment Provisions (SDAP).                                                     Not applicable

Notes for completing this form
   For supporting information requirements for requests for compliance assessment, please refer to the relevant
    matters for which compliance assessment will be carried out against. To avoid an action notice, it is recommended
    that you provide as much of the mandatory information listed in this form as possible.

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.


OFFICE USE ONLY

 Date received                                        Reference numbers

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                           IDAS form 7—Reconfiguring a lot
                                                                                               Version 3.2—3 August 2015

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