0015A4F2.001

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            INTEGRATED PLANNING ACT 1997                                                                                             Part D, Version 2.0, 4 October 2004
               ‘eS   ee
                aN AN                          Form 1         Development Application                                                                               I

                                    assessable against a local government’s planning scheme                                                          et
             y                                                                                                                                       a.       |
           t                      Completion of all applicable questions on Part D is mandatory for all applications involving assessment of a                      .
           :                                material change of use (MCU) assessable against a local governments planning scheme,                                    t
           f Nature of the application         .      1.    This application is for: (tick 1 or both ff applicable). *            we               e                ;
             doveoneomt Penni wie spe! éminary                 [_] Preliminary approval for a material change of use of premises including conceptual
                         fo occur,                             ’      .                  .                     ‘                              :             .      é
           t approval is a step in the approval process           design for any associated works that require approval under the planning scheme (ie.
            ; and does not authorise development to               consideration of the proposal concept)
            occur.                                            AND /OR
           :                                                   [X] Development permit for a material change of use of premises including conceptual
   @       F                                           2          design for any  associated works that require approval under the       planning scheme.          :
           1 The subject land                         2.    How the subject land is identified in the planning scheme (name the zone, precinct etc.)
             For the definition of “gross floor area” go to Mary River Catchment - Rural                             ,                                              co
           I the planning scheme against which the                                                                                                                 .
           ; application will be assessed.                                                               :
           ¥                                          3.    Existing gross floor area: (if applicable) NIA                      ‘                                  ‘
           :                                          4.   Are there any existing easements on the land?                                                      -
           to              .                                      NO                                                    ,
                                                              (1 YES - attach plans of the location and details of the purpose of the easement
           «. Material change of use details          5.    Details of the change to the use of the land: (eg. vacant lend to shopping centre, house to apartment   '
              .                         :                  building, vacant land to industry (tyre manufacturing) etc.)                                             ,
           i                                  .       Single Detached Dwelling and Associated Shed Structures to the inclusion of three cabins fora                =;
           yo                                         Visitor Accommodation (Type 3 - Rural)
           ‘                         ,
 ;         .                                          6.    Number of employees:        NIA                                                                        ‘
           :                                  _      aE       x sca           tape.    F        :                                                                   ,
                                                      7.   Operating days and hours:          NIA
   ©       y Associated building works details (i            .             N/A                                   .                        :                        ‘
           * applicable)                              8.   Site cover:
           £ For the definition of ‘site cover’, “gross floor
           © area” and “storey” go to the planning    9.   Gross floor          240m approx                      .                                                 ¢
           * scheme against which the application will     area:
           t be assessed.                                         ;                                     3                                                 _        :
           2                                          10.  Number of on-site car parking spaces:                  .                                                :
                            .                 ~    ‘1-44,  Number of storeys / maximum height above natural                   ‘Storey
                                                                  fj                                                          8 Metres
                                                           ground:
                                                                                       .        *                                         oe       .               ;
           pO                                         12.  Number of employees          NIA
           ;                       *                                                                                                                               z
             —                      :                        .                 °                       " Short Stay Accommodation                                  :
                                                      13.  Hours and days the use will operate          24 Hours
    ;      r Associated operational works             14.  Details of associated operational works (eg. landscaping, cut and fill, drainage, road works efc.)      i
             details (ieppicabley            ~,   .  |: Landscaping, Access Driveway Construction, Connection to Services                                          i