IDAS Form 1 - Cooroibah

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

Applicant’s reference number (non-mandatory         4BBZ-4GYM-5136 - Cooroibah
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.)
     Infrastructure Use - Service and Utility (Type 3 Tower)



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          X   Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval           X 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.)
     Constructing or raising waterway barrier works



d)   What is the level of assessment?
     X   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