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00156B56.001

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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                                                     <f          [

                                Completion of ail 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 1 or both if applicable)
          ,                 .      .                                                                                                                         t
           phair pent authorises sii                      CJ Pretiminary approval for a material change of use of premises including conceptual         —
           crore    a step in the approval prone.             design for any associated works that require approval under the planning scheme fie.
            pproval ls a step in the approval process             jderation of the    /      f
          and does not authorise development to occur.        consideration of the proposal concept)                                                         }
          i                                               AND/OR
   @ !                                                    (X] Development permit for a material change of use of premises including conceptua!               i
                                                              design for any associated works that require approval under the planning scheme.               :
          iThe subject land                 ,     2.   How the subject land is identified in the planning scheme (name the zone, precinct etc.)
           the planning scheme against which the          Visitor Mixed Use                                                                                 i
           application will be assessed.                                                                 .                                                   ,
          |                                       3. _ Existing gross floor area: (if applicable)                                                           '
          '                                       4.   Are there any existing easements on the land?                                                        :
          :                                               BNO
                                                          (2 YES ~ attach plans of the tocation and details of the purpose of the easement                  ‘
          i 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.)                                       :
                                                         residential uints/shops to 3 residential units and 2 shops

          .                                                                                                                       '                          1,
   ©      “Associated building works details (if  |g — Site cover:        303.7m?
           applicable)                                                        -
           For the definition of ‘site cover’, “gross floor             .
           area’ and “storey” go to the planning scheme 9. Gross floor area:   733.1m
              inst which the application will be                        ;          :
                                                  11.   Number of storeys / maximum height above natural ground:                                            "

           Associated operational works details   |14.  Details of associated operational works (eg. landscaping, cut and fill, drainage, road works etc.)
           Mee

                                                                          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)

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