Revised_DA Form 1

 

CD Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification:
CJ 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?

Note: Easement uses vary throughout Queensiand and are to be identified correctly and accurately. For further information on easements and
how they may aifect the proposed development, see DA Forms Guide.

LO Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
fd No

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)

CI Material change of use [[] Reconfiguring a lot | Operational work D1 Buiiding work
b) What is the approval type? (tick only one box)

 

 

 

A Development permit C1 Preliminary approval (1 Preliminary approval that includes a variation approval
c) What is the level of assessment?
(J Code assessment (J 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
lots): :

 

 

 

 

and driveway Crogsovey on Pvefevty
e) Relevant plans

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

F Relevant plans of the proposed development are attached to the development application

 

 

 

6.2) Provide details about the second development aspect
a) What is the type of development? (tick only one box)

 

 

 

 

 

 

CO Material change of use [J Reconfiguring a lot OC Operational work 0 Building work

b) What is the approval type? (tick only one box)

CJ Development permit C1 Preliminary approval 0 Preliminary approval that includes a variation approval
c) What is the level of assessment?

(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 7 lot 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.

LC Relevant plans of the proposed development are attached to the development application
6.3) Additional aspects of development

 

CD Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application

CJ Not required

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.3— 28 September 2020

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