Original source · versioned page text
ECM_21572829_v1_DA Form 1 - 64 Reserve St (1)
Document Set ID: 21572829
Version: 1, Version Date: 29/07/2021
[OCR of page images]
Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Requlation
23.16) Does this development application involve reconfiguring a lot into 2 or more lots in certain residential zones
(except rural residential zones), where at least one road is created or extended?
C1 Yes — Schedule 12A is applicable to the development application and the assessment benchmarks contained in
schedule 12A have been considered
KI No
Note: See guidance materials a
for further information.
PART 8 — CHECKLIST AND APPLICANT DECLARATION
24) Development application checklist
| have identified the assessment manager in question 15 and all relevant referral
requirement(s) in question 17 &J Yes
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the proposed development, Parts 4 to 6 of DA F
Building wor
Kl Yes
leiails have been completed and attached to this development application (Not applicable
Supporting information addressing any applicable assessment benchmarks is with the
development application
Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report x Yes
and any technical reports required by the relevant categorising instruments (e.g. local government planning
schemes, State Planning Policy, State pe verapmsnt Assessment Provisions). For further information, see DA
rms Gt
Planning Report
Relevant plans of the develosmner are attached to this development application
Note: Relevant pians are requied to be submitted for all aspects of this development application. For further i Yes
information, see DA Forms Guide: Re ple
The portable long service leave levy for Gleave has been paid, or will be paid before a & Yes
| development permit is issued (see 27) 0 Not applicable
25) Applicant declaration
By making this development application, | declare that all information in this development application is true and
correct
{X] Where an email address is provided in Part 1 of this form, | consent to receive future electronic communications
from the assessment manager and any referral agency for the development application where written information
is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
Note: It is unlawful to intentionally provide false or misleading information.
| Privacy — Personal information collected in this form will be used by the assessment manager and/or chosen —
assessment manager, any relevant referral agency and/or building certifier (including any professional advisers
which may be engaged by those entities) while processing, assessing and deciding the development application.
All information relating to this development application may be available for inspection and purchase, and/or
published on the assessment manager's and/or referral agency's website.
Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning
Regulation 2017 and the DA Rules except where:
e such disclosure is in accordance with the provisions about public access to documents contained in the Planning
Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
Planning Regulation 2017; or
¢ required by other legislation (including the Right to Information Act 2009); or
e otherwise required by law.
This information may be stored in relevant databases. The information collected will be retained as required by the
Public Records Act 2002.
Page 11
DA Form 1 — Development application details
Version 1.3— 28 September 2020
Document Set ID: 21572829
Version: 1, Version Date: 29/07/2021
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