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Operational Works Application OPW24/0021 - DA Form 1 & Pics - 45 Lawnville Rd, Cooroy

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     Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
 CLR site identification:




     Yes - All easement locations, types and dimensions are included in plans submitted with this development
          application
 Ei No

PART 3 - DEVELOPMENT DETAILS

Section 1 - Aspects of development

 a) What is the type of development? (tick only one box)
     Material change of use               Reconfiguring a lot                   Operational work                     Building work
 b) What is the approval type? (tick only one box)________
 EJ 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.
 [El Relevant plans of the proposed development are attached to the development application


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


     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


                                                                                                                                           Page 3
                                                                                                        DA Form 1 - Development application details
                                                                                                                  Version 1.4— 15 December 2023
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