Revised DA Form 1

 
    

Intended use of parts created

 

 

 

 

 

 

 

Number of parts created |

 

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

 

 

 

 

 

 

 

 

 

Length (m)

 

 

 

 

 

 

 

 

 

Division 3 — Operational work

Note. This division is to be ted if arr wt of the jon involves work.
( Road work 0 Stormwater ( Water infrastructure
| C] Drainage work 0 Earthworks i

 

 

 

 

DC Sewage infrastructure
| C) Landscaping CO Signage CO Clearing vegetation
| Other ~ please specify: or WAT Az S STGP
|C Yes ~ specify number of new lots:
i CINe

 
       
 

i$ SOO

PART 4 - ASSESSMENT MANAGER DETAILS

  

C1 Yes — a copy of the decision notice is attached to this development application |
| C1 The local government is taken to have agreed to the superseded planning scheme request ~ relevant documents |
i

 

| attached

5

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DA Form 1 ~ Development application details
Version 1.3— 28 September 2020