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DA Form 1 - (Parts 3 & 7 Only)
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):
Food and drink outlet
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)
Roadside display and sale of goods Roadside stall 18m2
Sale of food and drink for consumption Food and drink outlet 18m2
8.2) Does the proposed use involve the use of existing buildings on the premises?
Yes
No
PART 7 – FURTHER DETAILS
20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
Yes – provide details below or include details in a schedule to this development application
No
List of approval/development Reference number Date Assessment
application references manager
Approval
Development application
Approval
Development application
21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
operational work)
Page 2
DA Form 1 – Development application details
Version 1.3— 28 September 2020
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