DA Form 1

  ☒ Not required

Section 2 – Further development details
  7) Does the proposed development application involve any of the following?
  Material change of use                   ☒ Yes – complete division 1 if assessable against a local planning instrument
  Reconfiguring a lot                      ☐ Yes – complete division 2
  Operational work                         ☐ Yes – complete division 3
  Building work                            ☐ Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
      local planning instrument.
  8.1) Describe the proposed material change of use
  Provide a general description of the                  Provide the planning scheme definition                Number of dwelling         Gross floor
  proposed use                                          (include each definition in a new row)                units (if applicable)      area (m2)
                                                                                                                                         (if applicable)
  Short-Term Accommodation                              1.   means the use of premises for                    2                          N/A
                                                        a.   providing accommodation of less than
                                                             three (3) consecutive months to tourists
                                                             or travellers; or
                                                        b.   a manager’s residence, office, or
                                                             recreation facilities for the exclusive use
                                                             of guests, if the use is ancillary to the use
                                                             in subparagraph (i); but
                                                        2.   does not include a hotel, nature-based
                                                             tourism, resort complex or tourist park
  Dual Occupancy                                        1.   means a residential use of premises for 2        2                          N/A
                                                             households involving—
                                                        a.   2 dwellings (whether attached or
                                                             detached) on a single lot or 2 dwellings
                                                             (whether attached or detached) on
                                                             separate lots that share a common
                                                             property; and
                                                        b.   any domestic outbuilding associated with
                                                             the dwellings; but
                                                        2.   does not include a residential use of
                                                             premises that involves a secondary
                                                             dwelling.


  8.2) Does the proposed use involve the use of existing buildings on the premises?
  ☐ Yes
  ☒ No

Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
  9.1) What is the total number of existing lots making up the premises?


  9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
  ☐ Subdivision (complete 10))                                         ☐ Dividing land into parts by agreement (complete 11))
  ☐ Boundary realignment (complete 12))                               ☐ Creating or changing an easement giving access to a lot
                                                                        from a constructed road (complete 13))

  10) Subdivision


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