0093_001

Department of Infrastructure, Local Government and Planning

 

 

C 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 affect the proposed development. see DA Forms Guide_

XX Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
(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)

 

 

Material change of use LJ Reconfiguring a lot LJ Operational work U1 Building work
b) What is the approval type? (tick only one box)
XJ Development permit CU Preliminary approval UH Preliminary approval that includes

a variation approval

 

c) What is the level of assessment?
LJ Code assessment XX 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):
Material change of use from Professional Offices to Community Uses — Education Type 3 Adult

 

 

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.

XX] 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)

 

 

L] Material change of use C Reconfiguring a lot L] Operational work O Building work

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

LJ Development permit CJ Preliminary approval U Preliminary approval that includes a variation
approval

 

c) What is the level of assessment?
C1 Code assessment LI 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 fot 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

O 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

Not required

 

 

 

Page 3
DA Form 1 — Development Application details
Version 1.0—3 July 2017