IDAS Form-1 2015 signed

TSS SSSA EO st TNS Ae i ee aro rea a RaNe eee

 

Email address (non-mandatory requirement) [email protected]

 

 

Applicant's reference number (non-mandatory 01589
requirement)

 

 

 

1. Whatis the nature of development proposed and what type of approval is being sought?

 

 

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B—Aspect 2.)

 

a) Whatis the nature of the development? (Please only tick one box.)
v Material change of use = [_] Reconfiguring a lot [J] Building work L] Operational work

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

[_] Preliminary approval (J Preliminary approval ¥ Development permit
under s241 of SPA under s241 and s242
of SPA

c) Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

 

Dwelling house

 

 

 

d) Whatis the level of assessment? (Please only tick one box.)

[_] Impact assessment v Code assessment

 

 

Table B—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—
Additional aspects of the application.)

 

a) What is the nature of development? (Please only tick one box.)
CL] Material change of use O Reconfiguring a lot LC] Building work CL Operational work

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

CL Preliminary approval O Preliminary approval LC] Development
under s241 of SPA under s241 and s242 permit
of SPA

c) Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

 

 

 

 

d) Whatis the level of assessment?

| Impact assessment CL Code assessment

 

 

Table C—Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)

[_] Refer attached schedule Not required

 

 

 

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IDAS form 1—Application details
Version 3.0—1 July 2013