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DA Form 1 & Plans

of 14

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Plans and drawings

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(J Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
| EMR site identification: [

(J 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?

Nel i mech) Ut Ue LB UE
how they may affect the propos

0 Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
| L1No

 

PART 3 —- DEVELOPMENT DETAILS

Section 1 — Aspects of development
6 mate ilel-mel = bo =) evelopme cS)

a) What is the type of development? (tick only one box)

 

 

 

 

 

 

CL Material change of use ~—_[[] Reconfiguring a tot LJ Operational work (1 Building work

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

Pf Development permit C Preliminary approval C] Preliminary approval that includes a variation approval

c) What is the level of assessment?

PI Code assessment CJ 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,

Pe 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)

 

 

 

 

 

 

 

C1 Material change of use [[] Reconfiguring a tot C1 Operational work CJ Building work

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

CJ Development permit U Preliminary approval C1] Preliminary approval that includes a variation approval
c) What is the level of assessment?

LJ Code assessment Cd 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.

LJ 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

CI Not required

 

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.3— 28 September 2020
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DA Form 1 & Plans.pdf · 1.4 MB (small file)

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