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SOLPSM01_2JR02826-SOL_PRN_KINGS_GoLine_0463_001 · OPW20/0236
Department of Infrastructure, Local Government and Plann
D1 Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification:
5) Are there any existing easements over the premises?
Note: Easement use. y throughout Queensland and are to be identified correctly and accurately, For further information on easements and how
they may affect the ¢ te RelA re) ALTE 1 Oy Wk 1M ET E161 em
C1 Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
No
PART 3 —- DEVELOPMENT DETAILS
Section 1 — Aspects of development
6.1) Provide details about the first development aspect
a) What is the type of development? (tick only one box)
DO Material change of use CO Reconfiguring a lot {1 Operational work C) Building work
b) What is the approval type? (tick only one box)
& Development permit O Preliminary approval OO Preliminary approval that includes
a variation approval
c) What is the level of assessment?
Code assessment CJ Impact assessment (requires public notification)
d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):
e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms quide:
Relevant plans.
Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect
a) What is the type of development? (tick only one box)
C Material change of use CO Reconfiguring a lot LD Operational work D Building work
b) What is the approval type? (tick only one box)
LD Development permit O Preliminary approval O Preliminary approval that includes a variation
approval
c) What is the level of assessment?
Ld Code assessment LO Impact assessment (requires public notification)
d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3 lots)
e) Relevant plans
Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.
CO Relevant plans of the proposed development are attached to the development application
6.3) Additional aspects of development
CL 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
1 Not required
Page 3
DA Form 1 — Development Application details
Version 1.0—3 July 2017
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