Development Application part 2 of 10 IDAS Forms & Owners Consent - MCU13/0092

Fax number (non-mandatory requirement)                      07     5~’b                ’9.q,7
e-mail address (non-mandatory requirement)

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Applicant’s reference number (non-mandatory
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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-Aspect 2.)

a)   Wh~ the nature of the development? (Please only tick        one   box.)

     15’Material change of   use     0Reconfiguring a lot              0Building work             0Operational work

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

     o Preliminary approval          o Preliminary approval          ~velopment
          under s241 of SPA               under s241 and s242              permit
                                          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, 30 lot residential subdivision etc.)
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d)   Whfis the level of assessment? (Please only tick one box.)
     [Y’lmpactassessment          0Code 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.)

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

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

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




d)   What is the level of assessment?

     D Impact assessment             o Code assessment