DAForm1

    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 Queensland and are to be identified correctly and accurately. For further information on easements
                                                                                                                             easeme    and how
they may affect the proposed development, see DA Forms Guide.
                                                       Guide
    Yes – All easement locations, types and
                                         nd 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
a) What is the type of development? (tick only one box)
    Material change of use                      Reconfiguring a lot                    Operational work                       Building work
b) What is the approval type? (tick only one box)
    Development permit                          Preliminary approval                   Preliminary approval that includes
                                                                                       a variation approval
c) What is the level of assessment?
    Code assessment                             Impact assessment (requires public notification)
d)) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit
                                                                                                 unit dwelling, reconfiguration of 1 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.
    Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect
                                                  a
a) What is the type of development? (tick only one box)
    Material change of use                      Reconfiguring a lot                    Operational work                       Building work
b) What is the approval type? (tick only one
                                          ne box)
    Development permit                          Preliminary approval                 Preliminary approval that includes a variation
                                                                                  approval
c) What is the level of assessment?
    Code assessment                             Impact
                                                  pact assessment (requires public notification)
d)) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit
                                                                                                 unit dwelling, reconfiguration of 1 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.
    Relevant plans of the proposed development are attached to the development application

6.3) Additional aspects of development
   Additional aspects of development are relevant to this development application and thee details for these aspects
that would be required under Part 3 Section
                                     ection 1 of this form have been attached to this development application
                                                                                                    applic
   Not required


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