ArcticLlama_form-1 · OPW16/0155

Email address (non-mandatory requirement)
                                                     @

Applicant’s reference number (non-mandatory
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 permit
          under s241 of SPA               under s241 and s242
                                          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.)
     Works to road reserve adjacent to part of 203 Gympie Terrace Noosaville



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


Table C—Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)
         Refer attached schedule         Not required



                                                                                              IDAS form 1—Application details
                                                                                                  Version 4.2—3 August 2015