Development Application part 1 of 2 IDAS Form 1 & 5 MCU11/0178

Material change of use assessable against a planning
scheme - IDAS form 5
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This form must be completed for development applications for a material change of use assessable against a
planning scheme.

You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
necessary information and documentation will result in your application not being a properly made application.

For all development applications, you must:

•     complete Applicant details - IDAS form I

•     complete any other forms relevant to your application
•      provide any mandatory supporting information identified on the forms as being required to accompany your
       application.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.

This form can also be used for development on strategic port land under the Transport Infrastructure Act 1994.



1. How is the premises identified I zoned in the applicable planning scheme? (if the premises involves
 multiple zones, clearly identify the relevant zone for each lot in a separate row in the below table) Non-mandatory


                    Lot description
                                                                         Applicable zone /precinct       Applicable overlays
                    (i.e. street address or lot on plan details)

                                                                                                         EPA, Bushfire and
             1      L2 RP 200503                                         Rural Zone
                                                                                                         Landslide


2. How is the proposed use/s defined in the applicable planning scheme?


                                                    Planning scheme                                    Days and
                                                                                   No. of dwelling /                     No.. of
                            explanation of          definition (include each                           hours of
                                                                                   tency units
                                                                                   tenancy    nus                        employees
                    the proposed use                definition in a new row)                           operation
                                                                                   (if applicable)                       (if applicable)
                                                    (non-mandatory)                                    (if applicable)

                                                    Multiple Housing Type 1
             1      Farm Managers Dwelling                                         1                                     1
                                                    Employee


3 What type of approval is being sought for the material change of use?


® development permit                      q preliminary approval                   q both - provide details below


4. Are there any current approvals associated with this application for the change of use of the premises?
(eg. a preliminary approval)


    No      q Yes - provide details below