IDAS Form 5

                                         Type 1 Office                                           8:30am –
                                                                                                 5:30 pm
    Education                            Education Type 3 Adult         900m2                    Mon – Sat
                                                                                                 8:30am –
                                                                                                 10pm
    Units                                Multiple Housing – Type 4      26 units                 24/7
                                         Conventional



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

            No           Yes—provide details below

    List of approval reference/s                      Date approved (dd/mm/yy)              Date approval lapses (dd/mm/yy)



    3. Does the proposed use involve (Tick applicable box/es.)

    The reuse of existing buildings on the premises                   No                Yes
    New building work on the premises                                 No                Yes
    The reuse of existing operational work on the premises            No                Yes
    New operational work on the premises                              No                Yes


    4. Confirm that the following mandatory supporting information accompanies this application

    Mandatory supporting information                                                   Confirmation of       Method of
                                                                                       lodgement             lodgement
    All applications
    A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are                   Confirmed         Electronic
    recommended scales) which shows the following:
       the location and site area of the land to which the application relates
        (relevant land)
       the north point
       the boundaries of the relevant land
       any road frontages of the relevant land, including the name of the road
       the location and use of any existing or proposed buildings or structures
        on the relevant land (note: where extensive demolition or new buildings
        are proposed, two separate plans (an existing site plan and proposed site
        plan) may be appropriate)
       any existing or proposed easements on the relevant land and their
        function
       the location and use of buildings on land adjoining the relevant land
       all vehicle access points and any existing or proposed car parking areas
        on the relevant land. Car parking spaces for persons with disabilities and
        any service vehicle access and parking should be clearly marked
       for any new building on the relevant land, the location of refuse storage
       the location of any proposed retaining walls on the relevant land and their
        height
       the location of any proposed landscaping on the relevant land

2                                                        IDAS form 5— Material change of use assessable against a planning scheme
                                                                                                   Version 2.0 17 December 2012