DA Form 1

  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
  ☒ Not required

Section 2 – Further development details
  7) Does the proposed development application involve any of the following?
  Material change of use                   ☐ xYes – complete division 1 if assessable against a local planning
                                             instrument
  Reconfiguring a lot                      ☐ Yes – complete division 2
  Operational work                         ☐ Yes – complete division 3
  Building work                            ☒ Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
      local planning instrument.
  8.1) Describe the proposed material change of use
  Provide a general description               Provide the planning               Number of dwelling units (if             Gross floor area (m2)
  of the proposed use                         scheme definition (include         applicable)                              (if applicable)
                                              each definition in a new row)
  Dwelling and garage                                                                                                     297



  8.2) Does the proposed use involve the use of existing buildings on the premises?
  ☐ Yes
  ☐ xNo

Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
  9.1) What is the total number of existing lots making up the premises?


  9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
  ☐ Subdivision (complete 10))                                         ☐ Dividing land into parts by agreement (complete 11))
  ☐ Boundary realignment (complete 12))                                ☐ Creating or changing an easement giving access to a lot
                                                                         from a constructed road (complete 13))

  10) Subdivision
  10.1) For this development, how many lots are being created and what is the intended use of those lots:
  Intended use of lots created               Residential               Commercial              Industrial               Other, please specify:


  Number of lots created
  10.2) Will the subdivision be staged?
  ☐ Yes – provide additional details below
  ☐ No



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                                                                                                            DA Form 1 – Development application details
                                                                                                                         Version 1.2— 7 February 2020