Re-lodged application MCU16/0121

                                                                                  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-Aspect           2.)

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

     Ii" Material change of use                  D    Reconfiguring a lot         D   Building work             D   Operational work


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

     D Preliminary approval                      D Preliminary approval           0' 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, 30 lot residential subdivision etc.)

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                                               I Me X cl. \.
d)   What is the level of assessment? (Please only tick one box.)

     D       Impact assessment                   D    Code assessment


Table B-Aspect    2 of the appiication (If there are additional aspects to the application please list in Table C-
Additionai aspects of the application.)             N R-

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

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


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

     D       Preliminary approval                D    Preliminary approval        D   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, 30 lot residential subdivision etc.)




d)   What is the level of assessment?

     D Impact assessment                         D 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.)            I-.J I A
     D Refer attached schedule                   D Not required



                                                                                                               IDAS fonn 1-Application details
                                                                                                                   Version 4.2-3 August 2015