20201221085022221 · OPW21/0001

Department of infrastructure, Local Government and Plann

 

 

(7 Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification:

 

 

 

     
 

 
 

5) Are there any existing easements over the premises?

Nee eMC T CORMIER CCUM MLR Mme Tek ONE Ur RTT ME mm ee) Ce OR Mie
they may affect the proposed development, see DA Forms Guide.

 
 

(1 Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
Ao

PART 3 — DEVELOPMENT DETAILS

 

 

Section 1 — Aspects of development
6.1) Provide details about the first development aspect

 

a) What is the type of development? (tick only one box)

 

CJ Material change of use (1 Reconfiguring a fot C1 Operational work (1 Building work
b) What is the approval type? (tick only one box)
(J Development permit C] Preliminary approval L] Preliminary approval that includes

a variation approval

 

c) What is the level of assessment?
( Code assessment C1 Impact assessment (requires public notification)

 

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
Jots):

Drv vewoy

e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms guide:

 

Relevant plans.

wt Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect 7

a) What is the type of development? (tick only one box)

 

 

J] Material change of use . ( Reconfiguring a lot (1) Opérationial work C] Building work
b) What is the approval type? (tick only one box)
(1 Development permit C1 Preliminary approval (J Preliminary approval that includes a variation

 

approval
c) What is the level of assessment? me
(1 Code assessment C1 impact assessment (requires public notification)

 

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 fot into 3 lots)

e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans. as

(J Relevant plans of the proposed development are attached to the development application

6.3) Additional aspects of development

() Additional aspects of development are relevant to this development application and the details for these aspects
het see be required under Part 3 Section 1 of this form have been attached to this development application

Not required

 

 

 

 

Page 3
DA Form 1 — Development Application details
Version 1.0—3 July 2017

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