DA Form 1 MCU20-0146

 Name of airport:
 ☐​ Listed on the Environmental Management Register (EMR) under the ​Environmental Protection Act 1994
 EMR site identification:
 ☐​ 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 and
                                                   ​ A Forms Guide.
 how they may affect the proposed development, see D
 ☐​ 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             ☐​ 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 dwelling, reconfiguration of 1 lot into 3
    lots)​:
 Dwelling House and Secondary Dwelling
 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) 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 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 the details for these aspects
    that would be required under Part 3 Section 1 of this form have been attached to this development application


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                                                                                                         DA Form 1 – Development application details
                                                                                                                   Version 1.3— 28 September 2020