Operational Works Application OPW17/0039

                                                                   Department of Infrastructure, Local Government and Planning


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-Aspect2.)

a)   What is the nature of the development?     (Please only tick one box.)

     o Material change of use        0 Reconfiguring a lot             0 Building work                 Operational work


b)   What is the approval type? (Please only tick one box.)

     o Preliminary approval          o Preliminary approval            o 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, 3D lot residential subdivision etc.)




d)   What is the level of assessment?    (Please only tick one box.)

     E'JImpact assessment            0 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.)

     o Material change of use        0 Reconfiguring a lot             0 Building work             0 Operational work
b)   What is the approval type? (Please only tick one box.)

     o Preliminary approval          o Preliminary approval
                                            under s241 and s242
                                                                       o   Development
                                                                            permit
          under s241 of SPA
                                            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, 3D lot residential subdivision etc.)




d)   What is the level of assessment?

     o Impact assessment              0 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.)

     o Refer attached schedule          0 Not required


                                                                                                 IDAS form I-Application details
                                                                                                  Version 4.3-5 December 2016