001AA433.001

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      INTEGRATED PLANNING ACT 1997                                                                                             Part E, Version 3.2
      |            %         Form 1.Development Application                                                                  en ¢\-\         ee
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      Ey                                    Building &/or operational works assessable
      v                                                 against a planning scheme’
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      Ngtuge of Une works. Tee                                                             ee
       4.  Nature of work that requires assessment against a planning scheme:
              ([] Building work - Complete Table A            (J Operational work - Complete Table B
            Table B
                 (i)  What is the nature of the operational work?
@                      [_] Roadworks             [_] Stormwater                    L_] Water infrastructure          [_] Sewerage infrastructure
                       [_] Landscaping           ([] Earthworks                    [[] Drainage Works                [_] Signage
                       [-] Clearing vegetation under the planning scheme           (X] Other - Specify below
                       Timber Jetty
                  (ii) What type of approval is being sought? (NOTE: if you have indicated multiple operational works in question {i) above and your answers to this
                       question would be different for different operational work, it may be more appropriate to provide these details in an attachment to this form)
                        {XJ Development Permit                      [_] Preliminary approval                      [_] Both (Specify below)
                  (iii) Is the operational work necessary to facilitate the creation of new lots (ie. subdivision)?
                       ENo        {([] Yes - Specify the number of lots being created
                  (iv) Avo there any current approvals associated with this application? (e.g. Development Permit or Preliminary Approval for MCU or reconfiguring
                       a
                           No      [7] Yes - Complete Table Ba)

 ®@      2. What is the dollar value of this operational work? (ce. the total value including GST, materials and labour) $ 15000
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         Mandatory Mii
         3.  Confirm that the following mandatory information accompanies this application
                                                                                                                    tea          Eten oo or cagerent
                                                                                                               fi ve P nation . iS 7      —   ¥   he
                                                                                                               Pee OG UE MEU Tics ieee    Waa weit
            Plans, and speafica jons if applicable, showing the nature and location of the proposed works (including the
             P        dspecifications ff applicable, showing the nat d location of th          k      i

           OFFICE USE ONLY
             Date Received                              Retoencenunbss           [Td
          Advice for completing Part E
          General advice
          e    Part A must also be completed for ail DAS development applications.
          ,    The appticant is responsible for answering all questions fully and correctly, untess following a response there is a statement to go directly to another question.