00155885.001

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        INTEGRATED PLANNING ACT 1997                                                                              Part D, Version 2.0, 4 October 2004
                 XS          Form 1       Development Application                                                                  idas
        YW’                       aterial                  change                    ofuse                             t&
                   assessable against a local government's planning scheme                                             ¢

        “©     5)" Completion of all          applicable questions on Part D is mandatory for alapplications involving ssessmentofa=
         Boe                        material change of use (MCU) assessable against alocal goverimenis planning scheme, =
        Nature of the application “       | 4,   This application is for: (tock tor both if applicable)
        2 ge jeiopment permit authorises __|.°°    [} Preliminary approval for a material changé of use of premises including concéptual
        Serle See ree emnay                 |. *       design for any associated works that require approval under the planning scheme (ie. © ~
         approval is a Step in the approval process -.. © ggridigeration of the ‘al concept} : LS o    i     :       fe    a      x        :
        and does not authorise development to occur.| 3. fons oe one  propose o cep ) .   .                    “     ‘      :     -      _
         ee                es                fee    ANDIOR
©         i         ,            =        18.) Development permit for a material change of use of premises including conceptual
        cre          Se design for any associated works that require approval under the planning scheme.                                   =
       The subject land          _     _,   |2,  How the subject land is identified in thie platining scheme (name the zone, precinct etc.) oe
        te planning scheme againstwhich tte |."    Lelached housing                                ,                        —              /
        application will be assessed.” -           eS                  Boe         OE              TT                       —
           ‘.     ,                    _    3.   Existing gross floor area: (if applicable). | 293m2                                     -
            :              ,           :     S          ae            STE                  7      =           CZ     =       =      7
           eo                               14.» Are there any existing easements on theland?      =                         -
          VG           ia     =       .     Sa    - £1) YES = attach plans of the focation and details of the purpose of the easement      :
         Az ophif changigf use détails,     5... Details of the change to the use of the land: (eg. vacant land io shopping céntré, house to apartment building,
             ;                       e\      |. « aeeitland io industy (bre manufacturing) ett)                              TS
              RECEI         ED              “|     Home Based Business Type 2
                    en rma,         £2)     (®   Memetenaness                [ge
              HOOSA SHIRE COUNCIL           BO                                   eg      Ser                        =
                 FRONT COUNTER &)           1,   Operating days and hours:          | Monday to Friday - 9am to 5 pm
 @      sega tapi way syefails (f           |g   Site cover.      29% ( exsting detached dwelling)             Co                     oo
        aréat and storey’ go tothe planning schesne ‘9. Gross floor area:, | 50m2 (home based business) |                        7       2
          jdinst which the application willbe =”              Pes,                     a  ae                        a              Ba
          Sty                                11. Number of storeys / maximuni height above natural ground:    we oy and approx 8

           :                   ;             143. Hours and days the use willoperate  . | Monday to Friday - 9am to § pm                  =
         Associated operational works details | 14. Details of associated operational works (eg. landscaping, cut and fil, drainage, road works etc)
        epee)                           |                       lated Op       i WOTKS (eg. landscaping, cut and fil, drainage, road works etc)
                                                                  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.
        OFFICE USE ONLY feppiicabie to assessment manager) .