IDAS Form 1

Mobile number (non-mandatory requirement)

Fax number (non-mandatory requirement)

e-mail address (non-mandatory requirement)          [email protected]

Applicant’s reference number (non-mandatory         11469
requirement)

1. What is the nature of the development proposed and what type of approval is being sought?

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B—Aspect 2.)
a)   What is the nature of the development? (Please only tick one box.)
         Material change of use          Reconfiguring a lot            Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval           Development
          under s241 of SPA               under s241 and s242            permit
                                          of SPA
c)   Provide a brief description of the proposal, including use definition and number of buildings or structures where
     applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
     Extension to Existing Coles Supermarket (590m2)



d)   What is the level of assessment? (Please only tick one box.)
         Impact assessment               Code assessment



Table B—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—Additional
aspects of the application.)
a)   What is the nature of development? (Please only tick one box.)
         Material change of use          Reconfiguring a lot            Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval           Development
          under s241 of SPA               under s241 and s242            permit
                                          of SPA
c)   Provide a brief description of the proposal, including use definition and number of buildings or structures where
     applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)




d)   What is the level of assessment?
         Impact assessment               Code assessment



                                                 Qplan