180373 - DA Form 1 · OPW18/0304

   ☐ Development permit                         ☐ Preliminary approval                 ☐ Preliminary approval that includes a variation
                                                                                       approval
   c) What is the level of assessment?

   ☐ Code assessment                            ☐ 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.

   ☐ Relevant plans of the proposed development are attached to the development application

   6.3) Additional aspects of development

   ☐ 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
   ☐ Not required

Section 2 – Further development details
   7) Does the proposed development application involve any of the following?
   Material change of use                   ☐ Yes – complete division 1 if assessable against a local planning instrument
   Reconfiguring a lot                      ☐ Yes – complete division 2
   Operational work                         ☐ Yes – complete division 3
   Building work                            ☐ Yes – complete DA Form 2 – Building work details

Division 1 – Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
local planning instrument.
   8.1) Describe the proposed material change of use
   Provide a general description of the                  Provide the planning scheme definition                Number of dwelling       Gross floor
   proposed use                                          (include each definition in a new row)                units (if applicable)    area (m2)
                                                                                                                                        (if applicable)




   8.2) Does the proposed use involve the use of existing buildings on the premises?

   ☐ Yes
   ☐ No

Division 2 – Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.
   9.1) What is the total number of existing lots making up the premises?


   9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)


                                                                                                                                              Page 4
                                                                                                           DA Form 1 – Development Application details
                                                                                                                         Version 1.1— 22 JUNE 2018