DA Form 1

No

Division 2 — Reconfiguring a lot

Note: This division is ai ee tobe ee if. i a: of the ie ae involves sz a iot.

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 froma
constructed road (complete 13))

Intended use of lots created Residential Commerciallndustriather, please specify:

Number of lots created

Yes — provide additional details below
No

How many stages will the works include?

What stage(s) will this development application apply
to?

Intended use of parts created Residential Commercial Industrial Other, please specify:
Number of parts created

Current lot Proposed lot
Lot on plan description Area (m?) — Lot on plan description Area (m?)

Existing or Width (m) Length (m)Purpose of the easement? (e.g. pedestrian Identify the land/lot(s)
proposed? access) benefitted by the easement

Division 3 - Operational work

Note: This division is a ae tobe BT if. Be % of the as ae involves we work,

Road work Stormwater Water infrastructure
Drainage work Earthworks Sewage infrastructure
Landscaping Signage Clearing vegetation

XY Other — please specify: ¢ Lo SSO ee