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00154413.001
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. INTEGRATED PLANNING ACT 1997 Part D, Version 2.0, 4 October 2004
Form 1 Development Application idas
Materialchange ofuse =
assessable against a local government's planning scheme ce
Completion of all applicable questions on Part D is mandatory for all applications involving assessment of a
material change of use (MCU) assessable against a local governments planning scheme.
Nature of the application 1. This application is for: (tick 7 or both if applicable)
A development permit authorises i _] Preliminary approval for a material change of use of premises including conceptual
Geveopment to occur, white a preliminary design for any associated works that require approval under the planning scheme (ie.
pproval is a step In the approval process ideration of th ! f
and does not authorise development to occur. consideration of the proposal concep!)
AND/ OR
@ {X] Development permit for a material change of use of premises including conceptual
design for any associated works that require approval under the planning scheme.
The subject land 2. How the subject land is identified in the planning scheme (name the zone, precinct etc.)
the planning scheme against which the Semi - attached housing
application will be assessed.
3. Existing gross floor area: (if applicable)
4. Are there any existing easements on the land?
x] NO
(1 YES - attach plans of the location and details of the purpose of the easement
Material change of use details 5. Details of the change to the use of the land: (eg. vacant land to shopping centre, house to apartment building,
vacant land to industry (tyre manufacturing) etc.)
Type 2 Duplex
6, Number of employees:
7. Operating days and hours: standard residentait
@ Associated building works detaiis if [3 site cover. | 39.09%
applicable) -
For the definition of “site cover’, “gross floor |} Gross floor area: 311.8m2
area’ and "storey" go to the planning scheme
a leelriael the application wi 10. Number of on-site car parking spaces:
lication will be . .
11. Number of storeys / maximum height above natural ground: 3 storeys and 12 metres
12, Number of employees
13. Hours and days the use wil operate
Associated operational works details |14. Details of associated operational works (eg. landscaping, cut and fill, drainage, road works etc.)
Er eopicatie) landscaping, carparking, access, sediment and erosion control
if applicabl
PLEASE NOTE
This application cannot be accepted unless accompanied by Part A of Form 1.
The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information
requested by Part A and any other relevant part of Form 1.
OFFICE USE ONLY (applicable to assessment manager)See the original
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