0015062B.001

INTEGRATED PLANNING ACT 1997                                                                                Part D, Version 2.0, 4 October 2004
           ,     VK            Form 1 Development Application                                                                           idas

            /                    Material                     change                    ofuse                              ‘Hy
           ;         assessable against a local government's planning scheme                                               < y              ay

         Le:            .     Completion of all applicable questions on Part: D is mandatory for all applications involving assessment ofa © =e  {
         i   .          eo            material change of-use (MCU) assessable against a local governments planning scheme. ~   Te  aS     Eee     i
         ' Nature of the application.”   "14.       This application is for: (lick 1 or both applicable) = Se                             pee    od
         [Adevelopment ermit authorises.     ') -—_["] Preliminary approval for a material change of use of prémises iricluding conceptual...   =;
          development to occur, while a préliminary’ “|? = > ‘design for’:   siatéd  works that requi        |   under the planning scheme
         | epprovalis.a step in the approval process |. =... » deSign for any associated works that require approval under the planning sc OMe. fhe. .
         "and does not authorise development to occur,   _- Consideration of the proposal concept):            me                        ae
         po                                     fg,    ANQFORD          ot,     ot                                    i
        [.       cs                            By      ff Development permit for a material change of use of premises including conceptual “*    |
         bes      co   ye                     |         design for any-associated works that require approval under the planning scheme. ~~
©        jThe subjectland            - “     “12.  How the subject land is identified in the planning scheme (name te zone, precinctetc) =.      4
          | the planning scherné against whichthe» =f      =      ti’         4G                =                                                 ;
          ' application will be assessed.    :        .     ee                                              oe                          cs
         .        a             a         a 3.      Existing gross floor area: {if applicable) 280~         MV                   |     _      } “
              FS                            4       neue any éxisting easements on the land?                                    rs
          Po                                           NO                                                  gk                og                -
          }        Se                                (1 YES - attach plans of the location and details of the purpose ofthe easeftient =  aos
          { Material change of use details % 15.    — Details.of the change to the use of the larid: (eg. vacant land to shopping centre, house to apartment building; 4
          ;        :     ao              “|        vacant land to industry (tyre manufacturing) etc.} “             .         oy          a       j
          P        te.          poe          RE     REAACE          E SS PAG        dL:    jCOUE RS        s   inte    WI          SOV OS PAE A.

          * Associated building works details (if. |-g. ° site cover: C.s~S&Y                                   RESRIP,        AITACAED.          ;
          : applicable) . Kom   oo 8     weep                 .                                                   ° “pLAns                 ws     {
          ! For the definition of ‘site cover”, “gross Ror’ 1.9 - Gragg floor area: {[                                        eee                 i
@         area” and.‘storey” go to the plarining scheme rare        ,     -      ———                —         -         PO,                  ei   i
          - against which the application wil b foe                 on                         >                        aa
          i                         S144. Number of storeys / maximum height above natural ground:               [2/b0n Ate. }.
          ;  .     tes   Ce            a      SPiew *  ee amet       ; 3       é       a        oe      7     .     .      3  ae        “oy
          * Associated. operational works détails | 14. Details of associated operational works (eg. landscaping, cut and fil, drainage, road Works etc.) * 2 }

                                                                      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.
           a
           OFFICE USE ONLY (applicable to assessment manager)
            Bomeseeve |                                                  ene
                ATE RECEIVED                                   ="   REFERENCE :