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
    6.4) Is the application for State facilitated development?
    ☐ Yes - Has a notice of declaration been given by the Minister?
    ☒ No

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                Number of dwelling       Gross floor
    proposed use                                         (include each definition in a new row)                units (if applicable)    area (m2)
                                                                                                                                        (if applicable)
    Dwelling House                                       means a residential use of premises                   1                        See plans.
                                                         involving—
                                                             a.​ 1 dwelling and any domestic
                                                                 outbuildings associated with
                                                                 the dwelling; or
                                                             b.​ 2 dwellings, 1 of which is 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
    8.3) Does the proposed development relate to temporary accepted development under the Planning Regulation?
    ☐ Yes – provide details below or include details in a schedule to this development application
    ☒ No
    Provide a general description of the temporary accepted development                                       Specify the stated period dates
                                                                                                              under the Planning Regulation



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?




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