Form 1 -sara-idas- signed · MCU13/0211

X


[OCR of page images]
   

 

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

 

 

Applicant's reference number (non-mandatory 01293
requirement)

 

 

 

1, "|. Whatis the nature of the 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 (1 Building work [-] Operational work

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

O Preliminary approval CO Preliminary approval oO 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.)

 

Material Change of Use — Duplex Dwelling x4

 

 

 

d) | Whatis the level of assessment? (Please only tick one box.)
Y Impact assessment [W 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.)
LD Material change of use % Reconfiguring a lot (1 Building work LJ Operational work

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

CO Preliminary approval O Preliminary approval oO Development
under $241 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.)

Boundary Realignment

 

 

 

 

d) Whatis the level of assessment?

(] impact assessment v 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 Oo Not required

 

 

 

 

  

DE an details
Version 3.0--1 July 2013