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DA Form 1 & Plan
Plans and drawings
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Proposed lot
Current lot
Area (m?) Lot on plan description Area (m?)
Lot on plan description
Existing or Width (m) | Length (m) | Purpose of the easement? (e.g. Identify the land/lot(s)
proposed? pedestrian access) benefitted by the easement
Division 3 — Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.
CJ Road work (7 Stormwater (1 Water infrastructure
(1 Drainage work (J Earthworks (1 Sewage infrastructure
CJ Landscaping OO Signage (1 Clearing vegetation
C Other — please specify: le Vee ites ck
(Yes — specify number of new lots:
[Ano
Lé5$ Thad 9150 K.
PART 4 — ASSESSMENT MANAGER DETAILS
(J Yes — a copy of the decision notice is attached to this development application
(Local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached
[Ano
PART 5 — REFERRAL DETAILS
[7] No, there are no referral requirements relevant to any development aspects identified in this development
application — proceed to Part 6
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