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DA Form 1 - (Parts 3 & 7 Only)

of 7

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  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)




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                                                                                                         DA Form 1 – Development application details
                                                                                                                  Version 1.3— 28 September 2020
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