You are on page 1of 13

!"#$$%$&'#$(')*+*",-.*$/'01/'23345'6728!

DEVELOPMENT APPLICATION
!"#$%&'%
! ! RESIDENTIAL ZONES -
SINGLE DWELLING HOUSING
DEVELOPMENT CODE!
%
Type of Application
% % %

‰% % % %
New Application JK,%2";%0<<*8+*+%0%(#*/0((54@0<4"8%$**<489%"#% K8?*#<%7#"("?05%3;$1*#%<"%H=4@=%<=4?%
#*@*4)*+%H#4<<*8%(#*/%0((54@0<4"8%H#4<<*8% 0((54@0<4"8%#*50<*?%J4,%0((54@015*MN%
0+)4@*L%(5*0?*%(#")4+*%<=*%(#"("?05%8;$1*#M% %
20…………………..%

Lease/Site Details Please Print%


%
K,%$"#*%<=08%"8*%5*0?*O?4<*L%0<<0@=%<=*%,"55"H489%+*<045?%,"#%*0@=%5*0?*O?4<*%

Block

Section Suburb

District

Street Number

Street Name

Postcode

Applicant Details Please Print%

Surname First Name

Company Name

Position held in Australian


company Company/Business
Number (ACN/ABN)

Postal Address

Suburb State Postcode

Phone Number Mobile


Business Hours

EMAIL ADDRESS

%
&%
'((#")*+%,"#$%'!-.&./&%0((#")*+%12%3*45%60)*#2%75088489%08+%:08+%';<="#4<2%"8%&-%>08;0#2%-.&.%;8+*#%?*@<4"8%A-B%
",%<=*%Planning and Development Act 2007%08+%#*)"C*?%'!-..D/&A&%
';<="#4?*+%12%<=*%'EF%70#540$*8<0#2%E";8?*5G05?"%0@@*??415*%0<%HHHI5*94?50<4"8I0@<I9")I0;%
!
!
!
Lessee (Property Owners) Details Please Print
1st Lessee’s Details (or Government Land Custodian)

Surname First Name

Company Name

Position held in Australian


company Company/Business
Number (ACN/ABN)

Postal Address

Suburb State Postcode

Phone Number Mobile


Business Hours

EMAIL ADDRESS

2nd Lessee’s Details (or Government Land Custodian)

Surname First Name

Company Name

Position held in Australian


company Company/Business
Number (ACN/ABN)

Postal Address

Suburb State Postcode

Phone Number Mobile


Business Hours

EMAIL ADDRESS

All lessees must sign authorising the lodgement of this development application. In doing so the lessee gives authority
to the applicant to negotiate any dealings in relation to the application through to its determination. If there are more
than two lessees please ensure that the details and authorisation are attached to the application.

Notice of Decision and Plans

Unless otherwise specified your notice of decision and/or plans will be returned via email
!
‰ EMAIL ! ‰ POST TO ME ! ‰ HOLD FOR COLLECTION

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!"??@!
(ABCD>EF:G!=H!BC:!(8/!7I>JEI<:KBI>H!8DAKF:JLIJFD!I;;:FFE=J:!IB!MMMNJ:OEFJIBEDKNI;BNODPNIA!
!
!
Fully Describe Your Proposal
EXAMPLES:!1.!-:<EKFCFEL!ER!EL:!H:CJ;D:H!DEBG:!JLH!CD:!:>:;CFEL!ER!J!L:N!CNE!GCE>:I!>:GFH:L;:!NFCD!JCCJ;D:HSH:CJ;D:H!PJ>JP:!
JLH!GNF<<FLP!TEEK!!!!2.!(HHFCFEL!ER!=:H>EE<!JLH!:LGBFC:!CE!>:J>!ER!:UFGCFLP!>:GFH:L;:!

Use of the Land


!
-:G;>F=:!CD:!T>ETEG:H!BG:!ER!CD:!KJLH!E>!CD:!T>ETEG:H!BG:!ER!J!=BFKHFLP!E>!GC>B;CB>:!EL!CD:!KJLHO!
Example: %:GFH:LCFJK!TB>TEG:G!RE>!J!GFLPK:!HN:KKFLP
!
!
!
!
!
Is the Use consistent with the current Crown lease? ‰ YES ‰ NO

!
Assessment Track, Zone, Development/Precinct Code
!
Please indicate which assessment track applies to this development application
!
‰ CODE ! ‰ MERIT !
!
NOTE: /D:!7KJLLFLP!JLH!0JLH!(BCDE>FCI!<JI refuse!CE!J;;:TC!J!H:Q:KET<:LC!JTTKF;JCFEL!<JH:!FL!JL!FL;E>>:;C!JGG:GG<:LC!C>J;VO!!
,R!CD:!7KJLLFLP!JLH!0JLH!(BCDE>FCI!JGG:GG:G!JL!JTTKF;JCFEL!<JH:!FL!CD:!FL;E>>:;C!JGG:GG<:LC!C>J;V!FC must refuse!CD:!JTTKF;JCFEL!
W+O''X!W"YY!
!
Please specify which Zone applies to this application:
!
Please specify which development/precinct code/s applies to this application:

Type of Development
!
7K:JG:!FLHF;JC:!NDF;D!CIT:!ER!H:Q:KET<:LC!JTTKF:G!CE!CDFG!H:Q:KET<:LC!JTTKF;JCFEL!
!
‰! Single Dwelling ‰! New Residence
‰! Additions and Alterations
‰! Demolition/rebuild
‰! Outbuildings W;J>TE>CGZ!PJ>JP:GZ!T:>PEKJG!:C;Y!
‰! Lease Variation/Consolidation
‰! Other!(please specify)[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[!
!
‰! Home Business ‰! Additions and alterations associated with application
for home business application!W.$/*\!4E<:!]BGFL:GG!RE><!
JKGE!CE!=:!;E<TK:C:H!JLH!KEHP:H!NFCD!CDFG!JTTKF;JCFEL)!
!

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!
!
!
!
Gross Floor Area (GFA) and Cost of Works
!
Gross Floor Area Calculation!
!
?
(!!)!!2>EGG!#KEE>!(>:J!R:SFGCFLPT! ! UUUUUUUUUUUU!< !
!
V!!)!!2>EGG!#KEE>!(>:J!CE!=:!H:<EKFGD:H! ! UUUUUUUUUUUU!<?!
!
?!
8!!)!!2>EGG!#KEE>!(>:J!CE!=:!JHH:H! ! UUUUUUUUUUUU!<
!

D - Total Gross Floor Area of development (A-B+C) ____________ m2

E- COST OF WORKS at D (*) W!UUUUUUUUUUUUUUUU

Other Area Calculation RLEC!JK>:JHI!FL;KBH:H!FL!CD:!J>:JG!X>EQFH:H!J=EQ:T!


!
#!!)!!(>:J!EY!ECD:>!V8(!8KJGG!'@!GC>B;CB>:G!FL;KBH:H!FL!CDFG!JXXKF;JCFEL!
R:OPO!<:CJK!;J>XE>CZ!X:>PEKJZ!H:;[Z!Q:>JLHJDT! ! UUUUUUUUUUUU!<\!
G- COST OF WORKS at F (*) W!UUUUUUUUUUUUUUUU

Cost of Associated Works!


!
4!!)!!8EGC!EY!JKK!JGGE;FJC:H!NE>[G!GB;D!JG!KJLHG;JXFLP! W!UUUUUUUUUUUUUUUUU!

,!)!!8EGC!EY!JKK!XB=KF;!NE>[G!JLH]E>!EYY!GFC:!NE>[G! ! W!UUUUUUUUUUUUUUUUU!
!
J - TOTAL COST OF WORKS (E+G+H+I) $__________________
!
*Cost of works MUST be calculated in accordance with the Building (General) (Cost of Building Work) Determination 2009 (No 1) – this can be
located on the Authority website www.actpla.act.gov.au, OR a summary of costs from a bill of quantities prepared by a quantity surveyor supplied
with application.

A summary of costs from a bill of quantities MAY be requested for proposals where cost of work is between $0 and $10 million
A summary of costs from a bill of quantities MUST be provided for \ proposals where cost of work is over $10 million.

Refer to the Definitions Section of the Territory Plan for a definition of “gross floor area”.
!
Entity and/or Referral Requirements
/D:!/:>>FCE>I!7KJL!>:^BF>:G!IEB!CE!;ELGFH:>!CD:!YEKKENFLP!FC:<G!FL!>:KJCFEL!CE!*LCFCI!>:^BF>:<:LCG!ND:L!X>:XJ>FLP!IEB>!H:Q:KEX<:LC!JXXKF;JCFELO!!,Y!
JL!FC:<!FG!>:K:QJLC!CE!IEB>!X>EXEGJK!IEB!<BGC_!
!
CODE TRACK APPLICATIONS •! +::[!:LCFCI!:LHE>G:<:LC!EY!IEB>!X>EXEGJK!X>FE>!CE!KEHP:<:LC!EY!IEB>!H:Q:KEX<:LC!JXXKF;JCFEL!
JLH!GB=<FC!CDFG!NFCD!IEB>!H:Q:KEX<:LC!JXXKF;JCFEL!
!
MERIT TRACK APPLICATIONS •! +::[!:LCFCI!:LHE>G:<:LC!EY!IEB>!X>EXEGJK!X>FE>!CE!KEHP:<:LC!EY!IEB>!H:Q:KEX<:LC!JXXKF;JCFEL!JLH!
GB=<FC!CDFG!NFCD!IEB>!H:Q:KEX<:LC!JXXKF;JCFEL!OR!!
•! 7>EQFH:!HE;B<:LCJCFEL!NFCD!IEB>!JXXKF;JCFEL!CDJC!H:<ELGC>JC:G!IEB>!X>EXEGJK!JHH>:GG:G!:LCFCI!
>:^BF>:<:LCG!GE!FC!;JL!=:!>:Y:>>:H!CE!CD:!>:K:QJLC!:LCFCI!=I!CD:!(BCDE>FCI!

DEMOLITION
‰ RELEVANT ‰ NOT RELEVANT
‰ *LCFCI!*LHE>G:<:LC!X>EQFH:H!
‰ %:^BF>:H!HE;B<:LCJCFEL!X>EQFH:H!YE>!>:Y:>>JK!CE!*LCFCI

HERITAGE
‰ RELEVANT ‰ NOT RELEVANT
‰ *LCFCI!*LHE>G:<:LC!X>EQFH:H!
‰ %:^BF>:H!HE;B<:LCJCFEL!X>EQFH:H!YE>!>:Y:>>JK!CE!*LCFCI

TREES
‰ RELEVANT ‰ NOT RELEVANT
! ‰ *LCFCI!*LHE>G:<:LC!X>EQFH:H!
`7>EC:;C:H!C>::a!FG!H:YFL:H!
BLH:>!CD:!Tree Protection
‰ %:^BF>:H!HE;B<:LCJCFEL!X>EQFH:H!YE>!>:Y:>>JK!CE!*LCFCI
In accordance with section 148 of the P &D Act 2007, where the development proposal
Act 2005.
requires groundwork within the tree protection zone of a protected tree, or is likely to cause
damage to or removal of, any protected trees, the application is to be accompanied by a Tree
Management Plan.

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!
!
!

WASTE
‰ RELEVANT ‰ NOT RELEVANT
MANAGEMENT!! ‰ *LCFCI!*LHE>G:<:LC!R>EQFH:H!
! ‰ %:SBF>:H!HE;B<:LCJCFEL!R>EQFH:H!TE>!>:T:>>JK!CE!*LCFCI!

NOTE: Only relevant for single dwelling housing where the development will
generate a total of 20 cubic metres or greater of demolition and/or excavation
waste
EROSION & SEDIMENT
CONTROL
‰ RELEVANT ‰ NOT RELEVANT
#E>!GFC:G!K:GG!CDJL!@OU!ET! ‰ *LCFCI!*LHE>G:<:LC!R>EQFH:H!
J!D:;CJ>:! ‰ %:SBF>:H!HE;B<:LCJCFEL!R>EQFH:H!TE>!>:T:>>JK!CE!*LCFCI!

NOTE: All new dwellings (including in established areas) require a plan that
provides details of the sediment and erosion control measures including: sediment
control barrier, designated cutting area and wash area, stockpiles and stabilised
access point.

For works such as class 10 structures, additions and alterations, and backyard
swimming pools - a note on the plan that "the development will comply with the
ACT Environment Protection Authority, Environment Protection Guidelines
for Construction and Land Development in the ACT, August 2007" is required.
In circumstances where there is a reasonable risk that soil from the required earth
works in the front of the block will impact on the stormwater system because the
block slopes towards the street a separate Erosion & Sediment Control Plan will be
required.
EROSION & SEDIMENT
CONTROL
‰ RELEVANT ‰ NOT RELEVANT
#E>!GFC:G!P>:JC:>!CDJL! ‰ *LCFCI!*LHE>G:<:LC!R>EQFH:H!
@OU!ET!J!D:;CJ>:! ‰ %:SBF>:H!HE;B<:LCJCFEL!R>EQFH:H!TE>!>:T:>>JK!CE!*LCFCI

!
Information Requirements for Development Applications (Non Referral Matters)
!
/D:!/:>>FCE>I!7KJL!JKGE!>:SBF>:G!IEB!CE!;ELGFH:>!CD:!TEKKENFLP!FC:<G!ND:L!R>:RJ>FLP!IEB>!H:Q:KER<:LC!JRRKF;JCFELO!!,T!JL!FC:<!FG!
>:K:QJLC!CE!IEB>!R>EREGJK!IEB!<BGC!R>EQFH:!HE;B<:LCJCFEL!CDJC!H:<ELGC>JC:G!DEN!IEB>!R>EREGJK!;E<RKF:G!NFCD!CD:!>:SBF>:<:LCG!ET!
CD:!/:>>FCE>I!7KJLO!

SUBDIVISION
V%:GFH:LCFJK!1EL:GW!
‰ RELEVANT ‰ NOT RELEVANT
‰ %:SBF>:H!HE;B<:LCJCFEL!R>EQFH:H!!

WATER SENSITIVE
URBAN DESIGN
‰ RELEVANT ‰ NOT RELEVANT
‰ %:SBF>:H!HE;B<:LCJCFEL!R>EQFH:H!!

NOTE: Relevant for all new single dwellings & for additions and
alterations that increase the roof area by more than 50% ONLY.
!
Utilities Requirements – ActewAGL & Stormwater
!
#E>!JKK!H:Q:KER<:LCG!FLQEKQFLP!;ELGC>B;CFEL!CD:!KE;JCFEL!JLH!LJCB>:!ET!:J>CDNE>XGY!BCFKFCI!;ELL:;CFELGY!R>EREG:H!=BFKHFLPGY!
RJQ:<:LCG!JLH!KJLHG;JR:!T:JCB>:G!<BGC!;E<RKI!NFCD!BCFKFCI!GCJLHJ>HGY!J;;:GG!R>EQFGFELG!JLH!JGG:C!;K:J>JL;:!ZEL:GO

This application complies with utility standards ‰ Yes ‰ No If No – Application can not be accepted
!
For more information on:

Utility Requirements and Standards Please contact ActewAGL on 6248 3555 or visit their website www.actewagl.com.au
Water, Electricity, Sewerage and Gas

Stormwater Easements Please contact Asset Acceptance via Canberra Connect on 132281 or visit their website
www.tams.act.gov.au

PLEASE CAREFULLY READ THE APPLICANT DECLARATION BEFORE SIGNING THIS FORM

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!
!
!

Driveways (For works on verge only)


!
#E>!R>EREGJKG!CDJC!FL;KBH:!;ELGC>B;CFEL!E>!<EHFSF;JCFEL!ES!H>FQ:NJITG!RK:JG:!FLHF;JC:!NE>UG!CE!=:!BLH:>CJU:LV!
‰ Not applicable ‰ 8ELGC>B;CFEL!ES!JHHFCFELJK!:LC>JL;:!
‰ %:KE;JCFEL!ES!:WFGCFLP!:LC>JL;:! ‰ 8ELGC>B;CFEL!ECD:>!CDJL!RKJFL!;EL;>:C:!
‰ 8ELGC>B;CFEL!ES!L:N!H>FQ:NJI! ‰ $CD:>!XRK:JG:!GR:;FSIY!ZZZZZZZZZZZZZZZZZZZZZZZZZZZ!

Survey Requirements - S.139 (2) (i) - P & D Act 2007


!
,S!CDFG!JRRKF;JCFEL!FG!SE>!JRR>EQJK!ES!J!H:Q:KER<:LC!CDJC!>:[BF>:G!;ELGC>B;CFEL!NE>U!CE!=:!;J>>F:H!EBC!EL!KJLH!CDJC!DJG!R>:QFEBGKI!=::L!
H:Q:KER:H!JLH!FG!LEC!K:JG:H!SE>!>B>JK!RB>REG:G!J!GB>Q:I!;:>CFSF;JC:!SE>!CD:!KJLH!ND:>:!CD:!H:Q:KER<:LC!FG!CE!=:!;J>>F:H!EBC!R>:RJ>:H!
JLH!GFPL:H!=I!J!>:PFGC:>:H!GB>Q:IE>!<BGC!J;;E<RJLI!CDFG!JRRKF;JCFEL!XBLK:GG!:W:<RC!=I!Regulation 25 of Planning and
Development Regulations 2008)O!
!

Have you provided a survey certificate with this application?


!
‰ NOT RELEVANT
‰ EXEMPT
‰ YES
!
Development Applications for Development Undertaken Without Approval – S.205 - P & D Act 2007

Is this application for development undertaken without approval? ‰ NO


‰ YES!
!
If YES )!7KJLG!ES!CD:!H:Q:KER<:LC!GFPL:H!=I!J!>:PFGC:>:H!GB>Q:IE>!;ELSF><FLP!CD:!KE;JCFEL!JLH!HF<:LGFELG!ES!CD:!H:Q:KER<:LC!must!=:!GB=<FCC:H!
NFCD!CDFG!JRRKF;JCFELO!!/D:!RKJLG!L::H!CE!;ELSF><!CD:!D:FPDC\!NFHCD!JLH!K:LPCD!HF<:LGFELG!ES!CD:!H:Q:KER<:LC!JLH!CD:!G:C=J;U!HF<:LGFELG!ES!CD:!
H:Q:KER<:LC!S>E<!CD:!=KE;U!=EBLHJ>F:GO!!/D:!FLSE><JCFEL!<JI!=:!R>EQFH:H!EL!EL:!RKJL!E>!EL!J!G:>F:G!ES!RKJLG!R>EQFH:H!:J;D!RKJL!FG!GFPL:H!=I!J!
>:PFGC:>:H!GB>Q:IE>O!
!
.EC:V!#E>!JKK!BLJRR>EQ:H!H:Q:KER<:LC!FLQEKQFLP!;ELGC>B;CFEL!CD:!KE;JCFEL!JLH!LJCB>:!ES!:J>CDNE>UG\!BCFKFCI!;ELL:;CFELG\!R>EREG:H!=BFKHFLPG\!
RJQ:<:LCG!JLH!KJLHG;JR:!S:JCB>:G!<BGC!;E<RKI!NFCD!BCFKFCI!GCJLHJ>HG\!J;;:GG!R>EQFGFELG!JLH!JGG:C!;K:J>JL;:!]EL:GO

Conflict of Interest Declaration


-E:G!CD:!JRRKF;JLC!E>!K:GG::!DJQ:!JLI!JGGE;FJCFEL!NFCD!(8/!7KJLLFLP!JLH!0JLH!(BCDE>FCI!GCJSS^! ‰ NO
‰ YES!
If YES!)!RK:JG:!R>EQFH:!H:CJFKGV! !
!
!
!

NOTE:!/D:>:!J>:!R:LJKCF:G!SE>!H:KF=:>JC:KI!PFQFLP!SJKG:!JLH!<FGK:JHFLP!FLSE><JCFELO!/D:!7KJLLFLP!JLH!0JLH!(BCDE>FCI!E>!&FLFGC:>!<JI!>:QEU:!JL!
JRR>EQJK!FS!GJCFGSF:H!CDJC!CD:!JRR>EQJK!NJG!E=CJFL:H!=I!S>JBH!E>!<FG>:R>:G:LCJCFELO!
!
Exclusion from Public Inspection
!
,L!J;;E>HJL;:!NFCD!CD:!>:[BF>:<:LCG!ES!+:;CFELG!?_!JLH!`@!ES!CD:!Planning and Development Act 2007 CD:!!
(8/!7KJLLFLP!JLH!0JLH!(BCDE>FCI!<BGC!<JU:!CD:!H:CJFKG!JLH!JGGE;FJC:H!HE;B<:LCG!>:K:QJLC!CE!J!H:Q:KER<:LC!JRRKF;JCFEL!
JQJFKJ=K:!SE>!RB=KF;!FLGR:;CFELO!
!
If you wish to apply to have all or part of this development application excluded from public inspection you must meet the requirements of Section
411(5) or 412(1) of the!7KJLLFLP!JLH!-:Q:KER<:LC!(;C!?@@a.

Exclusion from Public Inspection Requested ‰ YES


‰ NO
If Yes – please indicate under which section of ‰ S.411(5) !%:GC>F;CFEL!EL!7B=KF;!(QJFKJ=FKFCI!
Planning & Development Act 2007!
‰ *S.412(1)!%:GC>F;CFEL!EL!7B=KF;!(QJFKJ=FKFCI!!
!!!!!!!!!!!!!!!!!!!!!+*85%,/b!
!

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!
!
!

Exclusion from Public Inspection continued


Please specify the information to be excluded from public inspection and provide reasons for exclusion:
!
!
!
!
!
!
!
R!FS!:T;KBGFEL!FG!>:UB:GC:H!BLH:>!+:;CFEL!V'?W'X!J!K:CC:>Y!GFPL:H!=I!J!ZBGCF;:!&FLFGC:>Y!;:>CFSIFLP!CDFG!>:UB:GC!GJCFGSF:G!CD:!
>:UBF>:<:LCG!7KJLLFLP!JLH!-:Q:KE[<:LC!(;C!?@@"!must J;;E<[JLI!CDFG!J[[KF;JCFELO!

Other Development Application Requirements

LODGEMENT & PAYMENT


!
(!QJKFH!H:Q:KE[<:LC!J[[KF;JCFEL!;E<[>FG:G!ES!J!;E<[K:C:H!H:Q:KE[<:LC!J[[KF;JCFEL!SE><!J;;E<[JLF:H!=I!JKK!ES!CD:!>:UBF>:H!
FLSE><JCFEL!E>!HE;B<:LCG!CDJC!JHH>:GG!CD:!>:K:QJLC!>BK:G!JLH\E>!>:K:QJLC!;>FC:>FJ!SE>!FC!CE!=:!;ELGFH:>:H!SE>!J[[>EQJKO!
!
7>E[EGJKG!FL!CD:!Code Track <BGC!=:!J;;E<[JLF:H!=I!FLSE><JCFEL!E>!HE;B<:LCG!JHH>:GGFLP!JKK!CD:!>:K:QJLC!>BK:GY!FL;KBHFLP!JKK!
GCJC:<:LCG!ES!:LHE>G:<:LC!>:UBF>:H!SE>!CD:!J[[KF;JCFELO!!,S!CD:!FLSE><JCFEL!FG!LEC![>EQFH:H!CD:!J[[KF;JCFEL!<BGC!=:!>:SBG:HO!
!
7>E[EGJKG!FL!CD:!Merit track!DJQ:!CD:!E[CFEL!CE!;E<[KI!NFCD!CD:!>BK:G!E>!;>FC:>FJY!BLK:GG!CD:!>BK:!FG!<JLHJCE>IO!!3D:>:!FC!FG!
[>E[EG:H!CE!<::C!CD:!;>FC:>FJY!CD:!ELBG!FG!EL!CD:!J[[KF;JLC!CE!H:<ELGC>JC:Y!=I!GB[[E>CFLP![KJLG!JLH!N>FCC:L!HE;B<:LCJCFELY!CDJC!CD:!
[>E[EG:H!H:Q:KE[<:LC!GJCFGSF:G!CD:!;>FC:>FJ!JLH!CD:>:SE>:!CD:!FLC:LC!ES!CD:!:K:<:LCO!!
!
$L;:!J!H:Q:KE[<:LC!J[[KF;JCFEL!FG!>:;:FQ:HY!CD:!HE;B<:LCJCFEL!NFKK!=:!;D:;]:H!CE!:LGB>:!FC!<::CG!CD:!GCJLHJ>H!SE>!KEHP<:LCO!!,S!
CD:!HE;B<:LCJCFEL![>EQFH:H!FG!J;;:[CJ=K:Y!IEB!NFKK!>:;:FQ:!N>FCC:L!;ELSF><JCFEL!CD:!J[[KF;JCFEL!FG!>:JHI!SE>!KEHP<:LC!JLH!J!>:UB:GC!
SE>!CD:![JI<:LC!ES!CD:!J[[KF;JCFEL!S::GO!(!H:Q:KE[<:LC!J[[KF;JCFEL!FG!LEC!KEHP:H!BLCFK!SBKK![JI<:LC!ES!S::G!FG!<JH:O!
!
,S!CD:!-(!HE;B<:LCJCFEL!FG!LEC!J;;:[CJ=K:!SE>!KEHP<:LCY!IEB!NFKK!>:;:FQ:!N>FCC:L!JHQF;:!H:CJFKFLP!CD:!JHHFCFELJK!FLSE><JCFEL!>:UBF>:H!
JLH\E>!JLI!ECD:>!FGGB:G!NFCD!IEB>!J[[KF;JCFELO!$L;:!CD:G:!CDFLPG!J>:![>EQFH:H!CD:!(BCDE>FCI!NFKK!>:;E<<:L;:!CD:!HE;B<:LCJCFEL!
;D:;]!JLH!S::![JI<:LC![>E;:GG!EBCKFL:H!J=EQ:O!
!
DOCUMENTATION AND PLANS
All required documentation must be provided in an electronic format on compact disc/DVD and meet the following
requirements W-(!SE><!CE!=:!GB=<FCC:H!FL!DJ>H;E[I!FS!KEHP:H!EQ:>!CD:!;EBLC:>X

x! *J;D!HE;B<:LC!<BGC!=:!GJQ:H!JG!J!7-#!JLH!LJ<:H!FL!J;;E>HJL;:!NFCD!CD:!LJ<FLP!;ELQ:LCFEL!JG!H:CJFK:H!EL!CD:!
(8/70(!N:=GFC:O!!
x! (KK![KJLG!<BGC!=:!CE!G;JK:O!
x! (KK![KJLG!<BGC!=:!>ECJC:H!CE!CD:!;E>>:;C!E>F:LCJCFEL!FO:O!CD:I!J>:!CD:!>FPDC!NJI!B[!ND:L!E[:L:H!
x! (KK![KJLG!J>:!CE!=:!;K:J>!JLH!;EL;FG:!JLH!P:L:>JKKI!;ELGFGC:LC!NFCD!(BGC>JKFJL!+CJLHJ>H!''@@O^@'!)!'A_`!JLH!(BGC>JKFJL!
+CJLHJ>H!''@@O^@'!GB[[K:<:LCJ>I!)!JG!B[HJC:H!S>E<!CF<:!CE!CF<:O!
x! /D:![>E[EGJK!LB<=:>!FL;KBH:H!FL!CD:!LJ<FLP!;ELQ:LCFEL!FG!BLFUB:!CE!CD:!J[[KF;JCFEL!JLH![>EQFH:H!=I!CD:!!
(8/!7KJLLFLP!JLH!0JLH!(BCDE>FCIO!,S!IEB!DJQ:!JK>:JHI!DJH!H:JKFLPG!NFCD!CD:!(BCDE>FCI!J=EBC!IEB>![>E[EGJK!CD>EBPD!J!
[>:)J[[KF;JCFEL!<::CFLP!E>!DJQ:!>:UB:GC:H!JLH!>:;:FQ:H![>:!J[[KF;JCFEL!JHQF;:Y!IEB!NEBKH!JK>:JHI!DJQ:!J![>E[EGJK!
LB<=:>!JKKE;JC:H!SE>!IEB>!H:Q:KE[<:LC!J[[KF;JCFELO!,S!IEB!DJQ:!LEC!=::L!JKKE;JC:H!J![>E[EGJK!LB<=:>Y!K:JQ:!CDFG!
LB<=:>!EBC!ES!CD:!SFK:!LJ<:O!!
x! /D:!HE;B<:LCJCFEL![>EQFH:H!EL!8-\-6-!:FCD:>!EQ:>!CD:!;EBLC:>!E>!QFJ!JL!:K:;C>ELF;!KEHP<:LC![>E;:GG!W:<JFK!E>!
FLC:>L:CX!NFKK!=:!;ELGFH:>:H!CE!=:!CD:!>:K:QJLC!HE;B<:LCJCFEL!JGGE;FJC:H!NFCD!CDFG!J[[KF;JCFELO!

HARDCOPY DOCUMENTATION REQUIREMENTS


!
,L!JHHFCFEL!CE!-(!HE;B<:LCJCFEL!=:FLP![>EQFH:H!EL!;E<[J;C!HFG;\-6-!J!DJ>H!;E[I!<BGC!JKGE!=:![>EQFH:H!SE>!CD:!SEKKENFLPa!
•! Any!>:[E>C!>:UBF>:H!JG![J>C!ES!JL!J[[KF;JCFEL!EQ:>!?@![JP:G!FL!K:LPCD!
•! ALL!H:Q:KE[<:LC!J[[KF;JCFELG!CDJC!NFKK!=:!JGG:GG:H!FL!CD:!IMPACT!JGG:GG<:LC!C>J;]!
•! -:Q:KE[<:LC!J[[KF;JCFELG!SE>a!
o! J!>:GFH:LCFJK!=BFKHFLP!FLC:LH:H!CE!=:!DFPD:>!CDJL!^!GCE>:IG!JLH!;ELGFGCFLP!ES!<E>:!CDJL!`@!BLFCG!
o! J!=BFKHFLP!ND:>:!CD:!CECJK!SKEE>!G[J;:!ES!NDF;D!FG!FLC:LH:H!CE!=:!<E>:!CDJL!"@@@<?!
o! J!=BFKHFLP!E>!GC>B;CB>:!FLC:LH:H!CE!=:!DFPD:>!CDJL!?`<!
o! JL!J[[KF;JCFEL!CE!;DJLP:!J!;EL;:GGFELJK!K:JG:!FLCE!J!K:JG:!CDJC!FG!LEC!;EL;:GGFELJK!
!

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!
!
!
Applicant and Lessee Declaration
,RN:!CD:!BLH:>GFPL:HS!D:>:=I!JTTKI!UE>!JTT>EQJK!CE!;J>>I!EBC!CD:!H:Q:KET<:LC!H:G;>F=:H!EL!CD:!KJLH!GT:;FUF:H!FL!CDFG!JTTKF;JCFELV!
!
,RN:!H:;KJ>:!CDJC!CDFG!JTTKF;JCFEL!FG!J;;E<TJLF:H!=I!JKK!EU!CD:!>:WBF>:H!FLUE><JCFEL!E>!HE;B<:LCG!CDJC!JHH>:GG!CD:!>:K:QJLC!>BK:G!JLHRE>!>:K:QJLC!
;>FC:>FJ!UE>!FC!CE!=:!;ELGFH:>:H!UE>!JTT>EQJKV!
!
,RN:!BLH:>GCJLH!CDJC!CD:!FLUE><JCFEL!GB=<FCC:H!NFCD!CDFG!JTTKF;JCFEL!UE><!NFKK!BLH:>PE!J!HE;B<:LCJCFEL!;D:;X!T>FE>!CE!CD:!TJI<:LC!EU!U::G!JLH!
UE><JK!KEHP:<:LC!EU!CD:!JTTKF;JCFELO!!#B>CD:>!FLUE><JCFEL!<JI!=:!>:WBF>:H!T>FE>!CE!CD:!J;;:TCJL;:!EU!CD:!H:Q:KET<:LC!JTTKF;JCFEL!=I!CD:!(BCDE>FCIV!
!
,!RN:!BLH:>GCJLH!CDJC!CDFG!JTTKF;JCFEL!NFKK!=:!;ELGFH:>:H!KEHP:H!EL;:!CD:!>:K:QJLC!JTTKF;JCFEL!U::G!DJQ:!=::L!TJFHV!
!
,RN:!BLH:>GCJLH!CDJC!FU!HB>FLP!CD:!JGG:GG<:LC!EU!CDFG!JTTKF;JCFEL!FC!FG!UEBLH!CE!DJQ:!=::L!GB=<FCC:H!FL!CD:!FL;E>>:;C!JGG:GG<:LC!C>J;X!CD:!
JTTKF;JCFEL!NFKK!=:!>:UBG:H!JLH!,RN:!NFKK!LEC!=:!:LCFCK:H!CE!J!>:UBLH!E>!C>JLGU:>!EU!U::GV!
!
,RN:!BLH:>GCJLH!CDJC!CD:!HE;B<:LCJCFEL!T>EQFH:H!EL!8-R-6-!E>!QFJ!CD:!:K:;C>ELF;!KEHP<:LC!T>E;:GG!NFKK!=:!;ELGFH:>:H!CE!=:!CD:!>:K:QJLC!
HE;B<:LCJCFEL!JGGE;FJC:H!NFCD!CDFG!JTTKF;JCFELO!!(KK!H:Q:KET<:LC!JTTKF;JCFEL!HE;B<:LCJCFEL!NFKK!=:!<JH:!JQJFKJ=K:!UE>!TB=KF;!FLGT:;CFEL!FL;KBHFLP!
QFJ!CD:!,LC:>L:C!BLK:GG!:Y;KBGFEL!DJG!=::L!JTT>EQ:HV!
!
,U!CD:!CF<:!UE>!H:;FHFLP!CD:!JTTKF;JCFEL!ZT>:G;>F=:H!T:>FEH[!DJG!:LH:H!JLH!J!H:;FGFEL!DJG!LEC!=::L!>:J;D:H!,RN:!BLH:>GCJLH!CDJC!CD:!JTTKF;JCFEL!NFKK!
=:!H::<:H!>:UBG:H!JLH!CD:!(8/!7KJLLFLP!JLH!0JLH!(BCDE>FCI!NFKK!LEC!T>EQFH:!N>FCC:L!JHQF;:!EU!CDFG!H:;FGFELO!!,RN:!JKGE!BLH:>GCJLH!CDJC!CD:!(8/!
7KJLLFLP!JLH!0JLH!(BCDE>FCI!FG!J=K:!CE!GCFKK!;ELGFH:>!CD:!JTTKF;JCFEL!JLH!<JX:!J!H:;FGFEL!JUC:>!CD:!:YTF>JCFEL!EU!CD:!T>:G;>F=:H!T:>FEHV!
!
,RN:!D:>:=I!JBCDE>FG:!CD:!(8/!7KJLLFLP!JLH!0JLH!(BCDE>FCI!FCG!G:>QJLCG!JLH!JP:LCG!CE!:>:;C!GFPLRG!EL!CD:!GB=\:;C!T>ET:>CIZG[!JG!>:WBF>:H!JLH!
JBCDE>FG:!(8/!2EQ:>L<:LC!EUUF;:>G!CE!J;;:GG!CD:!GB=\:;C!T>ET:>CIZG[!UE>!CD:!TB>TEG:!EU!:QJKBJCFLP!CD:!T>ETEGJK!ZFL;KBHFLP!CD:!FLGT:;CFEL!EU!
H>FQ:NJIG!JLH!C>::G[V!
!
,RN:!CD:!BLH:>GFPL:H!ZK:GG::[!JTTEFLC!CD:!JTTKF;JLC!NDEG:!GFPLJCB>:!JTT:J>G!=:KEN!E>!FL!CD:!JCCJ;D:H!K:CC:>!EU!JTTEFLC<:LC!CE!J;C!EL!<IREB>!=:DJKU!
FL!>:KJCFEL!CE!CDFG!-:Q:KET<:LC!(TTKF;JCFELO!/DFG!JBCDE>FG:G!CD:!JTTKF;JLC!CE!TJI!JKK!JTTKF;JCFEL!U::GS!=ELHG!JLH!G:;B>FCF:GS!KFJFG:!NFCD!CD:!(8/!
7KJLLFLP!JLH!0JLH!(BCDE>FCI!ND:L!>:WBF>:HS!JKC:>S!J<:LH!E>!T>EQFH:!UB>CD:>!FLUE><JCFEL!JG!L:;:GGJ>I!JLH!>:;:FQ:!JLI!;E<<BLF;JCFELG!>:KJCFLP!CE!
CDFG!-:Q:KET<:LC!(TTKF;JCFELV!
!
,RN:!H:;KJ>:!CDJC!FLUE><JCFEL!>:KJCFLP!CE!BCFKFCI!GCJLHJ>HGS!J;;:GG!T>EQFGFELG!JLH!JGG:C!;K:J>JL;:!]EL:G!DJG!=::L!GEBPDC!U>E<!CD:!>:K:QJLC!BCFKFCI!
T>EQFH:>G!JLH!CDFG!H:Q:KET<:LC!JTTKF;JCFEL!DJG!=::L!T>:TJ>:H!FL!J;;E>HJL;:!NFCD!CD:F>!>:WBF>:<:LCGV!
!
,!BLH:>GCJLH!CDJC!;EGCG!JGGE;FJC:H!NFCD!CD:!>:KE;JCFEL!EU!JLI!:LPFL::>FLP!G:>QF;:G!ZKFPDC!TEK:GS!GCE><!NJC:>S!GB<TG!:C;[!NFKK!=:!JC!<I!:YT:LG:!JLH!
CDJC!,!NFKK!FLH:<LFUI!CD:!(8/!2EQ:>L<:LCS!FCG!G:>QJLCG!JLH!JP:LCG!JPJFLGC!JLI!;KJF<G!J>FGFLP!HB>FLP!CD:!>:KE;JCFEL!EU!CD:G:!G:>QF;:GV!
!
,!BLH:>GCJLH!CDJC!;ELGC>B;CFEL!EU!JLI!H>FQ:NJI!JGGE;FJC:H!NFCD!CDFG!JTTKF;JCFEL!<JI!LEC!;E<<:L;:!BLCFK!CD:!;ELC>J;CE>!DJG!>:;:FQ:H!:LHE>G:<:LC!
=I!CD:!>:K:QJLC!PEQ:>L<:LC!:LCFCIV!
!
,!BLH:>GCJLH!CDJC!J!8:>CFUF;JC:!EU!-:GFPL!(;;:TCJL;:!JLH!J!%EJH!$T:LFLP!7:><FC!JLH!/:<TE>J>I!&JLJP:<:LC!7KJL!<BGC!=:!E=CJFL:H!U>E<!CD:!
>:K:QJLC!PEQ:>L<:LC!JP:L;F:G!T>FE>!CE!CD:!GCJ>C!EU!;ELGC>B;CFEL!NE>XGV!
!
,RN:!H:;KJ>:!CDJC!JKK!CD:!FLUE><JCFEL!PFQ:L!EL!CDFG!UE><!JLH!FCG!JCCJ;D<:LCG!FG!C>B:!JLH!;E<TK:C:V!
!
If signing on behalf of a company, organisation or Government agency: -
!
,RN:!CD:!BLH:>GFPL:HS!H:;KJ>:!,RN:!DJQ:!CD:!JTT>ET>FJC:!H:K:PJCFEL!E>!JBCDE>FCI!CE!GFPL!EL!=:DJKU!EU!CD:!;E<TJLIS!E>PJLFGJCFEL!E>!
2EQ:>L<:LC!JP:L;IO!
!
Applicant Signature (s) Date

st
1 Lessee’s Signature Date

nd
2 Lessee’s Signature Date

Govt Land Custodian Signature Date


(unleased land only)

Delegate of ACTPLA Date


(unleased land only)

PLEASE MAKE SURE YOU COMPLETE THE DOCUMENTATION REQUIEMENTS CHECKLIST


AT THE END OF THIS FORM

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!
!
!
!

!"#$%&'()*+#&,(
(
/C:!Q:>FDKIJ!EKRD><IBEDK!DK!BCEF!RD><!EF!=:EKO!;DJJ:;B:G!BD!:KI=J:!Q>D;:FFEKO!DR!HDA>!IQQJE;IBEDKN!8DJJ:;BEDK!DR!
Q:>FDKIJ!EKRD><IBEDK!EF!IABCD>EF:G!=H!8CIQB:>F!ST!U!IKG!"!DR!BC:!Planning and Development Act 2007N!/C:!
EKRD><IBEDK!BCIB!HDA!Q>DPEG:!<IH!=:!GEF;JDF:G!BD!BC:!(8/!%:P:KA:!$RRE;:!IKG!BC:!%:OEFB>I>)2:K:>IJVF!$RRE;:N!/C:!
EKRD><IBEDK!<IH!=:!I;;:FF:G!=H!DBC:>!ODP:>K<:KB!IO:K;E:FT!(;B:M(20T!(8/*3!8D>QD>IBEDK!IKG!DBC:>!
;D<<:>;EIJ!D>OIKEFIBEDKF!EKB:>:FB:G!EK!G:P:JDQ<:KB!IKG!=AEJGEKO!EKRD><IBEDKN!/C:!Planning and Development Act
2007!>:WAE>:F!BC:!G:BIEJF!DR!IQQJE;IBEDKFT!G:;EFEDKF!IKG!D>G:>F!BD!=:!X:QB!DK!I!>:OEFB:>!IKG!<IG:!IPIEJI=J:!RD>!QA=JE;!
EKFQ:;BEDKN!,KRD><IBEDK!IKG!GD;A<:KBIBEDK!>:J:PIKB!BD!I!G:P:JDQ<:KB!IQQJE;IBEDK!<IH!=:!<IG:!IPIEJI=J:!PEI!BC:!
,KB:>K:BN!
!
Does the Commonwealth Environment Protection and Biodiversity Conservation Act 1999 (EPBC) affect
your proposal?!
/C:!*7Y8!;I<:!EKBD!DQ:>IBEDK!DK!'Z![AJH!?@@@N!,B!:FBI=JEFC:F!IK!:KPE>DK<:KBIJ!IFF:FF<:KB!IKG!IQQ>DPIJ!FHFB:<!
BCIB!EF!F:QI>IB:!IKG!GEFBEK;B!R>D<!BC:!(8/!FHFB:<N!,B!GD:F!KDB!IRR:;B!BC:!PIJEGEBH!DR!(8/!G:P:JDQ<:KB!IFF:FF<:KB!
IKG!IQQ>DPIJ!Q>D;:FF:FT!=AB!<IH!IRR:;B!BC:!IFF:FF<:KB!B>I;XN!/C:!(8/!;IKKDB!Q>DPEG:!Q>:JE<EKI>H!IGPE;:!DK!
MC:BC:>!I!Q>DQDFIJ!RIJJF!MEBCEK!BC:!G:REKEBEDK!DR!I!;DKB>DJJ:G!I;BEDKT!D>!>:WAE>:F!>:R:>>IJ!BD!BC:!8D<<DKM:IJBCN!\DA!
FCDAJG!;DKFAJB!MEBC!BC:!8D<<DKM:IJBC!BD!G:B:><EK:!ER!HDA>!Q>DQDFIJ!EF!I!;DKB>DJJ:G!I;BEDK!=:RD>:!F::XEKO!IKH!
IQQ>DPIJF!AKG:>!BC:!!"#$$%$&'#$(')*+*",-.*$/'01/'2334N!#D>!EKRD><IBEDK!I=DAB!BC:!*7Y8T!EK;JAGEKO!BC:!>:R:>>IJ!
Q>D;:FF!IKG!MC:K!I!>:R:>>IJ!FCDAJG!=:!<IG:T!;DKBI;B]!BC:!-:QI>B<:KB!DR!BC:!*KPE>DK<:KBT!3IB:>T!4:>EBIO:!IKG!BC:!
(>BFT!27$!YD^!SUST!8(.Y*%%(!(8/!?Z@'!/:J:QCDK:]!Z?S_''''N!

"!
#$%&!'(!)!%*+,-*./,(0!1$.*+!+,.20*!-3*00,.2!4$5+,.2!-*6*0$7&*./!8$-*!9!-:;:<=:>!?@@"!
(ABCD>EF:G!=H!BC:!(8/!7I>JEI<:KBI>H!8DAKF:JLIJFD!I;;:FFE=J:!IB!MMMNJ:OEFJIBEDKNI;BNODPNIA!
!
!
!
DOCUMENTATION REQUIREMENTS
RESIDENTIAL ZONES - SINGLE DWELLING HOUSING DEVELOPMENT CODE
!
Key:

Single residence in new

Additions & Alterations

Outbuildings/Class 10
!

excluding 2 storey
9! &:QAE>:G!

Single Dwelling in

Swimming Pools
established area
Šҏ!!!&:QAE>:G!ER!>:J:PIKB!

Second Storey
nd
!!! !!!'IH!=:!>:QA:FB:G!IF!RA>BC:>!EKRD><IBEDK!!

Structures
Additions
!!!!!!!!SRD>!<:>EB!B>I;T!IFF:FFI=J:!-:P:JDU<:KB!(UUJE;IBEDKF!DKJHV!

additions
estate
Site Plan 9! ! 9! ! 9! ! 9! ! 9! 9
Floor Plan!$D>!7A=JE;!&:OEFB:>!W!7A=JE;!.DBERE;IBEDK!
.D!EKB:>KIJ!JIHDAB!FCDMK!RD>!>:FEG:KBEIJ!G:P:JDU<:KB!!
9! ! 9! ! 9! ! 9! ! ! !

Floor Plan 9! ! 9! ! 9! ! 9! ! 9! 9
Elevations 9! ! 9! ! 9! ! 9! ! 9! 9
Sections 9! ! 9! ! 9! ! 9! ! ! 9
Colour Sample Schedule 9! ! 9! ! 9! ! 9! ! ! !

Demolition Plan ! !
9! ! Š! 9! ! Š! Š!
Shadow Diagram ! ! ! ! ! !

Statement Against Relevant Criteria 9! ! 9! ! 9! ! 9! ! 9! 9


$D>!<:>EB!B>I;T!IFF:FFI=J:!-:P:JDU<:KB!(UUJE;IBEDKF!DKJH!
Survey Certificate
&:QAE>:G!AKJ:FF!:X:<UB!=H!7!W!-!&:OAJIBEDK!?Y!
!
9! ! 9! ! 9! ! 9! 9
Landscape Plan !
9! ! ! ! ! !

Erosion and Sediment Control Plan or notation on plan stating 9! ! 9! ! 9! ! 9! ! 9! 9


development complies with EPA requirements
Tree Management Plan Š! Š! Š! Š! Š! Š!
Waste Management Plan Š Š Š Š  Š
%KJH!>:J:PIKB!RD>!FEKOJ:!GM:JJEKO!CDAFEKO!MC:>:!BC:!G:P:JDU<:KB!MEJJ!O:K:>IB:!I!BDBIJ!DR!
?#!;A=E;!<:B>:F!D>!O>:IB:>!DR!G:<DJEBEDK!IKGZD>!:X;IPIBEDK!MIFB:!
Driveway Plan!!
$D>!MD>TF!DK!P:>O:!DKJH!
9! ! 9! ! 9! !  9! 
Relevant Entity Advice
Mandatory!RD>!-(F!BD!=:!IFF:FF:G!EK!Code track!
Š Š Š Š Š Š
%UBEDKIJ!RD>!-(F!BD!=:!IFF:FF:G!EK!':>EB!B>I;T!
Documentation to satisfy relevant entity referral and non referral Š Š Š Š Š Š
requirements as required by the Territory Plan
Water Sensitive Urban Design Documentation
$D>!IJJ!K:M!FEKOJ:!GM:JJEKOF!W!RD>!IGGEBEDKF!IKG!IJB:>IBEDKF!BCIB!EK;>:IF:!BC:!RJDD>!I>:I!=H!
9! ! 9! ! Š Š  
<D>:!BCIK!Y#[!%.0\!
Unapproved Existing Works Plan Š Š Š Š Š Š
!
!
!

"#!
$%&'!"(!)!&*+,-*./,(0!1%.*+!+,.20*!-3*00,.2!4%5+,.2!-*6*0%7'*./!8%-*!9!-:;:<=:>!?##@!
(ABCD>EF:G!=H!BC:!(8/!7I>JEI<:KBI>H!8DAKF:JLIJFD!I;;:FFE=J:!IB!MMMNJ:OEFJIBEDKNI;BNODPNIA!
!
!
!
DOCUMENTATION REQUIREMENTS – DEFINITIONS & CHECKLIST
! ! !
Submission Required Information
Requirement
Statement Against
Relevant Criteria
Preferred Format: 'S!<JI:T!IKG!MCEB9!
Merit ‰ *AUUJE9G!
&)%+.!.%'7Q!
$-/R!
•! 2C9=9!EB!EF!U=DUDF9G!BD!;99B!I!:=EB9=EI!=IBC9=!BCIK!I!=AJ9!BC9!IUUJE:IKB!
EF!BD!U=DPEG9!I!M=EBB9K!FBIB9;9KB!G9;DKFB=IBEKO!BCIB!BC9!U=DUDF9G!
‰ -DB!=9WAE=9G!
G9P9JDU;9KB!FIBEFVE9F!BC9!:=EB9=EI!IKG!BC9=9VD=9!BC9!EKB9KB!DV!BC9!
9J9;9KB!
‰ Office Use
!
Site Plan Preferred Format: 'X!Y'"!VD=!JI=O9!D=!:D;UJ9Z!U=DUDFIJF[!<JI:T!IKG!MCEB9!
"\>??! ‰ *AUUJE9G!
>]?;;!VD=!A=<IK!I=9IF^!IF!IUU=DU=EIB9!VD=!DBC9=!I=9IF!
'AFB=IJEIK!39EOCB!,IBA;!Y'3,[!
‰ -DB!=9WAE=9G!
•! /D:IBEDK!IKG!EG9KBEVE:IBEDK!DV!9ZEFBEKO!FB=A:BA=9F!IKG!B=99F!(!B=99!
:IKDUE9F!BD!<9!FCDMK!BD!F:IJ9!
‰ Office Use
•! _DAKGI=E9F!DV!BC9!FEB9!MEBC!<9I=EKOF!IKG!GEFBIK:9F!
•! /D:IBEDK!DV!U=DUDF9G!<AEJGEKOF!IKG!FB=A:BA=9F!MEBC!GE;9KFEDKF!BD!
<JD:T!<DAKGI=E9F!
•! *:C9GAJ9!DV!O=DFF!VJDD=!I=9IF!VD=!BC9!U=DUDFIJ!EK:JAGEKO!9ZEFBEKO!
FB=A:BA=9F!
•! )ZEFBEKO!:DKBDA=F!V=D;!FEB9!FA=P9H!DV!BC9!FEB9!IKG!IG`DEKEKO!P9=O9!
•! 'JJ!9IF9;9KBF!DK!BC9!JIKG!
•! ,=EP9MIH!P9=O9!:=DFFEKO!G9BIEJF!
•! 2C9=9!BC9H!:IK!<9!=9IFDKI<JH!G9B9=;EK9G^!IJJ!9ZEFBEKO!=9BE:AJIB9G!
F9=PE:9F!IKG!IFFD:EIB9G!EKV=IFB=A:BA=9!DK!BC9!FEB9!
•! *B=99B!B=99F^!VDDB!UIBCF^!T9=<F^!FBD=;!MIB9=!UEBF^!FB=99B!JEOCBEKO!IKG!
DBC9=!UA<JE:!IFF9BF!EK!BC9!P9=O9!IG`I:9KB!BD!BC9!FEB9!
•! .C9!G=EU!JEK9!DV!IKH!FB=99B!B=99!MC9=9!I!U=DUDF9G!G=EP9MIH!P9=O9!
:=DFFEKO!9K:=DI:C9F!MEBCEK!BCIB!G=EU!JEK9!
•! 'JJ!U=DUDF9G!FEOKF!
!
Floor Plan(s)
#D=!IFF9FF;9KB!
Preferred Format: 'X!Y'"!VD=!JI=O9!D=!:D;UJ9Z!U=DUDFIJF[!<JI:T!IKG!MCEB9!
"\"??! ‰ *AUUJE9G!
UA=UDF9F! •!
•!
'!UJIK!VD=!9I:C!VJDD=!EK:JAGEKO!IKH!B=IVVE:I<J9!!FA<VJDD=!I=9IF!
,E;9KFEDKF!
‰ -DB!=9WAE=9G!
•! Q9H!BD!F9:BEDKF!:=DFF!=9V9=9K:9G!BD!=9J9PIKB!G=IMEKO!IKG!FC99B! ‰ Office Use
KA;<9=!
•! #EKEFC9G!VJDD=!J9P9JF!=9JIB9G!BD!'AFB=IJEIK!39EOCB!,IBA;!
•! *:C9GAJ9!DV!O=DFF!VJDD=!I=9I!VD=!9I:C!VJDD=!
•! +G9KBEVE:IBEDK!DV!IJJ!IGIUBI<J9!GM9JJEKOF!
•! #D=!U=DUDFIJF!EKPDJPEKO!IJB9=IBEDKF!D=!IGGEBEDKF!BD!IK!9ZEFBEKO!!
•! <AEJGEKO^!EG9KBEVE:IBEDK!DV!BC9!9ZEFBEKO!<AEJGEKO!
•! +G9KBEVE:IBEDK!DV!IJJ!=DD;F!Y9ZEFBEKO!IKG!U=DUDF9G[!
!
Floor Plan(s)
#D=!UA<JE:!=9OEFB9=!
Preferred Format: 'X!Y'"!VD=!JI=O9!D=!:D;UJ9Z!U=DUDFIJF[!<JI:T!IKG!MCEB9!
"\"??! ‰ *AUUJE9G!
IKG!KDBEVE:IBEDK!
UA=UDF9F!
'F!I<DP9!MEBC!BC9!VDJJDMEKO!9Z:9UBEDKF!(!
•! #JDD=!UJIK!EF!KDB!BD!FCDM!EKB9=ED=!JIHDAB!DV!=9FEG9KBEIJ!G9P9JDU;9KB!
‰ -DB!=9WAE=9G!
•! 'JJ!MEKGDMF!IKG!GDD=F!BD!<9!:J9I=JH!;I=T9G!BD!9KI<J9!EG9KBEVE:IBEDK!DV!
BC9!AF9!DV!BC9!=DD;aFUI:9!BD!MCE:C!BC9H!=9JIB9!D=!IK!EKGE:IBEDK!DK!BC9!
‰ Office Use
VJDD=!UJIK!IF!BD!MCIB!BC9!FUI:9!MEJJ!<9!AF9G!VD=!9NON!<9G=DD;F^!JEPEKO!
I=9I^!:I=!I::D;;DGIBEDK!!
!
Elevations Preferred Format: 'X!Y'"!VD=!JI=O9!D=!:D;UJ9Z!U=DUDFIJF[!<JI:T!IKG!MCEB9!
"\"??! ‰ *AUUJE9G!
•!
•!
,E;9KFEDK9G!C9EOCBF!EK:JAGEKO!DP9=IJJ!C9EOCBF!
'JJ!U=DUDF9G!FEOKF!
‰ -DB!=9WAE=9G!
•! 6=DUDF9G!9ZB9=KIJ!;IB9=EIJF!=9V9=9K:9G!BD!7DJDA=!*I;UJ9!*:C9GAJ9! ‰ Office Use
•! #EKEFC9G!VJDD=!J9P9JF!IKG!:9EJEKO!J9P9JF!
•! -IBA=IJ!IKG!VEKEFC9G!O=DAKG!J9P9JF!=9JIB9G!BD!'AFB=IJEIK!39EOCB!,IBA;!
•! #JDD=!BD!:9EJEKO!C9EOCBF!
•! *EG9!IKG!=9I=!<AEJGEKO!9KP9JDU9F!!
Section(s) Preferred Format: 'X!Y'"!VD=!JI=O9!D=!:D;UJ9Z!U=DUDFIJF[!<JI:T!IKG!MCEB9!
"\"??! ‰ *AUUJE9G!
•!
•!
#EKEFC9G!VJDD=!J9P9JF!IKG!:9EJEKO!J9P9JF!
-IBA=IJ!IKG!VEKEFC9G!O=DAKG!J9P9JF!=9JIB9G!BD!'AFB=IJEIK!39EOCB!,IBA;!
‰ -DB!=9WAE=9G!
•! #JDD=!BD!:9EJEKO!C9EOCBF! ‰ Office Use
•! *EG9!IKG!=9I=!<AEJGEKO!9KP9JDU9F!!
•! /DKO!F9:BEDK!DV!IKH!U=DUDF9G!<IF9;9KB!=I;U!FCDMEKO!O=IGE9KBF!
•! *9:BEDK!DV!IKH!FA<!VJDD=!I=9IF!
!

""!
#$%&!"'!(!%)*+,)-.+'/!0$-)*!*+-1/)!,2)//+-1!3$4*+-1!,)5)/$6&)-.!7$,)!8!,9:9;<9=!>??@!
'ABCD=EF9G!<H!BC9!'7.!6I=JEI;9KBI=H!7DAKF9JLIJFD!I::9FFE<J9!IB!MMMNJ9OEFJIBEDKNI:BNODPNIA!
!
!
!
Submission Required Information
Requirement
Driveway Plan
$D>!MD>QF!DK!P:>O:!
Preferred Format: (R!STD>B>IEBU!=JI;Q!IKG!MCEB:!
"V#??! ‰ +ATTJE:G!
DKJH! •!
•!
*WEFBEKO!O>DAKG!J:P:JF!IKG!BC:!GIBA<!<I>Q!AF:G!BD!D=BIEKEKO!J:P:JF!
/HT:!DX!Q:>=!Y!OABB:>!EN:N!JIH=I;Q!D>!P:>BE;IJ!
‰ .DB!>:aAE>:G!
•! *WEFBEKO!D>!EKB:KG:G!XDDBTIBCF!Y!BC:E>!IJEOK<:KB! ‰ Office Use
•! Z:>=!J:P:JF!IB!:I;C!;D>K:>!DX!BC:!G>EP:MIH!
•! 0:P:JF!DX!:I;C!FEG:!DX!BC:!G>EP:MIH!#<!=:CEKG!BC:!Q:>=!IKG!T>DT:>BH!
=DAKGI>H!
•! 0DKOEBAGEKIJ!F:;BEDKF!
•! 0D;IBEDK!Y!FA>XI;:!J:P:JF!DX!T>DTDF:G!OI>IO:!IKG[D>!;I>TD>B!IKG!
GM:JJEKO!
•! 0DKO!F:;BEDKF!
•! -EFBIK;:!X>D<!Q:>=!JEK:!BD!OI>IO:!D>!;I>TD>B\!Q:>=!JEK:!BD!T>DT:>BH!
=DAKGI>H\!;CIKO:F!BD!J:P:JF!IJDKO!:I;C!FEG:!DX!BC:!T>DTDF:G!
G>EP:MIH!IB!IJJ!;CIKO:F!DX!O>IG:!IKG!IB!FBI>B\!<EGTDEKB!IKG!XEKEFC!DX!IJJ!
P:>BE;IJ!;A>P:F!
•! ->EP:MIH!BD!=:!DABFEG:!B>::!;IKDTH!SXD>!=DBC!J:IF:G!JIKG!Y!P:>O:U!Y!
IKBE;ETIB:G!<IBA>:!;IKDTH\!"N#!<:B>:F!;J:I>!DX!FA<TF!IKG!F:>PE;:F\!
"N]!<:B>:F!;J:I>!DX!B>IKFXD><:>F\!^!<:B>:F!;J:I>!DX!BIKO:KB!TDEKB!DK!
;D>K:>!=JD;Q!
•! 7>DTDF:G!ATCEJJ!O>IG:!BD!=:!J:FF!BCIK!"_`!Y!GDMKCEJJ!O>IG:!J:FF!BCIK!
"#`!DK!P:>O:!Y!IB!>EOCB!IKOJ:!BD!Q:>=!JEK:!S<IW!"V"?!G:PEIBEDKU!
!
Colour Sample
Schedule
Preferred Format: (b\!(R\!;DJDA>!
•! 7>DTDF:G!:WB:>KIJ!<IB:>EIJ!;DJDA>!F;C:GAJ:!>:X:>:K;:G!BD!BC:E>! ‰ +ATTJE:G!
•!
JD;IBEDK!IKG!AF:!S:NON\!>DDXEKO\!MEKGDMF\!:WB:>ED>!MIJJFU!DK!:J:PIBEDKF!!
+;C:GAJ:!BD!EG:KBEXH!KI<:F\!;DG:F!IKG!=>IKGF!DX!:WB:>ED>!;DJDA>F!XD>!
‰ .DB!>:aAE>:G!
!
<IB:>EIJF!! ‰ Office Use
Demolition Plan Preferred Format: (R!S("!XD>!JI>O:!D>!;D<TJ:W!T>DTDFIJFU!=JI;Q!Y!MCEB:!
"V#??! ‰ +ATTJE:G!
•! ,G:KBEXE;IBEDK!DX!IJJ!=AEJGEKOF!IKG!FB>A;BA>:F!T>DTDF:G!BD!=:!
G:<DJEFC:G!
‰ .DB!>:aAE>:G!
! ‰ Office Use
Erosion &
Sediment Control
Preferred Format: (R!S("!XD>!JI>O:!D>!;D<TJ:W!T>DTDFIJFU!=JI;Q!IKG!MCEB:!
•! 7>:TI>:G!EK!I;;D>GIK;:!MEBC!(8/!*KPE>DK<:KB!7>DB:;BEDK!(ABCD>EBH\! ‰ +ATTJE:G!
Plan *KPE>DK<:KB!7>DB:;BEDK!2AEG:JEK:F!XD>!8DKFB>A;BEDK!IKG!0IKG!
-:P:JDT<:KB!EK!BC:!(8/!
‰ .DB!>:aAE>:G!
!
$D>!MD>QF!FA;C!IF!;JIFF!"?!FB>A;BA>:F\!IGGEBEDKF!IKG!IJB:>IBEDKF\!IKG!
‰ Office Use
=I;QHI>G!FME<<EKO!TDDJF!BCIB!I!KDB:!DK!BC:!TJIK!BCIB!"the development
will comply with the ACT Environment Protection Authority,
Environment Protection Guidelines for Construction and Land
Development in the ACT, August 2007" MEJJ!FAXXE;:!:W;:TB!MC:>:!BC:>:!EF!
I!>:IFDKI=J:!>EFQ!BCIB!FDEJ!X>D<!BC:!>:aAE>:G!:I>BC!MD>QF!EK!BC:!X>DKB!DX!BC:!
=JD;Q!MEJJ!E<TI;B!DK!BC:!FBD><MIB:>!FHFB:<!=:;IAF:!BC:!=JD;Q!FJDT:F!
BDMI>GF!BC:!FB>::B!
!
Survey Certificate
SIF!>:aAE>:G!=H!
Preferred Format: (R!S("!XD>!JI>O:!D>!;D<TJ:W!T>DTDFIJFU!=JI;Q!IKG!MCEB:!
"V#??! ‰ +ATTJE:G!
+:;BEDK!"R@S#U!SEU!
7JIKKEKO!Y!
#]?<<!XD>!A>=IK!I>:IF\!IF!ITT>DT>EIB:!XD>!DBC:>!I>:IF!
(AFB>IJEIK!4:EOCB!-IBA<!S(4-U!
‰ .DB!>:aAE>:G!
-:P:JDT<:KB!(;B!
#??_U!
•!
•!
/C:!=DAKGI>E:F!DX!BC:!FEB:!MEBC!=:I>EKOF!IKG!GEFBIK;:F!
/C:!JD;IBEDK!DX!:I;C!=AEJGEKO!IKG!FB>A;BA>:!DK!BC:!FEB:!
‰ Office Use
•! -E<:KFEDKF!DX!BC:!G:P:JDT<:KB!
•! *WEFBEKO!;DKBDA>F!DX!BC:!FEB:!IKG!IGcDEKEKO!P:>O:!
•! 7>:TI>:G!IKG!FEOK:G!=H!>:OEFB:>:G!+A>P:HD>!
!
Shadow
Diagram(s)
Preferred Format: (R!S("!XD>!JI>O:!D>!;D<TJ:W!T>DTDFIJFU!=JI;Q!IKG!MCEB:!
"V"??! ‰ +ATTJE:G!
•!
•!
*WEFBEKO!;DKBDA>F!SIF!T:>!FEB:!TJIKU!
.IBA>IJ!Y!XEKEFC:G!O>DAKG!J:P:JF!>:JIB:G!BD!(AFB>IJEIK!4:EOCB!-IBA<!
‰ .DB!>:aAE>:G!
•! /C:!JD;IBEDK!DX!T>DTDF:G!=AEJGEKOF!IKG!FB>A;BA>:F! ‰ Office Use
•! +CIGDMF!;IFB!=H!T>DTDF:G!=AEJGEKOF\!>:BIEK:G!=AEJGEKOF\!:WEFBEKO!
X:K;:F!IKG!T>DTDF:G!X:K;:F!IB!@I<\!KDDK!IKG!RT<!DK!#"!dAK:!
S3EKB:>!FDJFBE;:U!
•! /C:!JD;IBEDK!DX!IJJ!=AEJGEKOF!IKG!T>EPIB:!DT:K!FTI;:!DK!IGcDEKEKO!D>!
IGcI;:KB!=JD;QF!BCIB!I>:!IXX:;B:G!=H!BCDF:!FCIGDMF!
•! *J:PIBEDKF!DX!=AEJGEKOF!DK!IGcDEKEKO!D>!IGcI;:KB!=JD;QF!BCIB!;DKBIEK!
MEKGDMF!BD!CI=EBI=J:!>DD<F!IXX:;B:G!=H!FCIGDMF!;IFBN!3C:>:!
TDFFE=J:!BC:!BHT:!DX!CI=EBI=J:!>DD<!IXX:;B:G!FCDAJG!=:!EKGE;IB:G!S:NON!
=:G>DD<\!GEKEKO!>DD<U!
!

"#!
$%&'!"(!)!&*+,-*./,(0!1%.*+!+,.20*!-3*00,.2!4%5+,.2!-*6*0%7'*./!8%-*!9!-:;:<=:>!#??@!
(ABCD>EF:G!=H!BC:!(8/!7I>JEI<:KBI>H!8DAKF:JLIJFD!I;;:FFE=J:!IB!MMMNJ:OEFJIBEDKNI;BNODPNIA!
!
!
!
Submission Required Information
Requirement
Landscape Plan Preferred Format: (#!R("!SE>!KJ>P:!E>!;E<TK:U!T>ETEGJKGV!=KJ;W!JLH!NDFC:!
"X?@@! ‰ +BTTKF:H!
7>ETEG:H!KJLHG;JTFLP!TKJL!CE!FL;KBH:X!
•! 7>ETEG:H!TKJLCFLP!H:CJFKGY!FL;KBHFLP!TKJLC!GT:;F:G!JLH!;E<<EL!
‰ .EC!>:\BF>:H!
LJ<:Y!CECJK!LB<=:>!ES!:J;D!GT:;F:G!ES!TKJLC!T>ETEG:H!JLH!TKJLCFLP!
RTECV!GFZ:!CE!=:!LE<FLJC:H!EL!CD:!TKJL!
‰ Office Use
•! />::G!EL!CD:!GFC:!T>ETEG:H!CE!=:!>:CJFL:H!
•! />::!T>EC:;CFEL!ZEL:G!SE>!JKK!T>EC:;C:H!C>::G!JSS:;CFLP!CD:!GFC:Y!
J;;B>JC:KI!GDENL!RFL;KBHFLP!C>::!T>EC:;CFEL!ZEL:G!ES!C>::G!EL!
JH[J;:LC!E>!JH[EFLFLP!=KE;WGV!
•! $E>!T>ETEGJKG!FL!D:>FCJP:!J>:JG!JLH!>:H:Q:KET<:LC!FL!:GCJ=KFGD:H!
J>:JG!JL!:QJKBJCFEL!ES!JKK!:UFGCFLP!C>::G!CE!=:!T>EQFH:HO!
•! *UFGCFLP!JLH!T>ETEG:H!;ELCEB>G!
•! &:CJFLFLP!GC>B;CB>:G!=EBLHJ>I!C>:JC<:LCG!FL;KBHFLP!;EB>CIJ>H!NJKKG!
JLH!S:L;:G!
•! +B>SJ;:!C>:JC<:LCG!GDENFLP!T:>QFEBG!JLH!F<T:>QFEBG!GB>SJ;:G!
•! +B>SJ;:!GCE><!NJC:>!<JLJP:<:LC!FL;KBHFLP!H>JFLJP:!JLH!CJTG!
•! (>:JG!CE!=:!F>>FPJC:H!FL;KBHFLP!CIT:!ES!GIGC:<!
•! /D:!J>:J!ES!T>FQJC:!ET:L!GTJ;:!CE!=:!T>EQFH:H!
•! /D:!T:>;:LCJP:!ES!T>FQJC:!ET:L!GTJ;:!CE!=:!>:CJFL:H!JG!TKJLCFLP!
!
Tree Management
Plan
Preferred Format: (`Y!=KJ;W!JLH!NDFC:!
"X?@@! ‰ +BTTKF:H!
.EC:X!]7>EC:;C:H!
•! 7>:TJ>:H!FL!J;;E>HJL;:!NFCD!-:TJ>C<:LC!ES!/:>>FCE>I!JLH!'BLF;FTJK!
+:>QF;:G!2BFH:KFL:G!SE>!7>:TJ>FLP!J!/>::!'JLJP:<:LC!7KJL!
‰ .EC!>:\BF>:H!
C>::^!FG!H:SFL:H!
BLH:>!CD:!/>::!
!
,L!J;;E>HJL;:!NFCD!G:;CFEL!"`a!ES!CD:!7KJLLFLP!JLH!-:Q:KET<:LC!(;C!
‰ Office Use
7>EC:;CFEL!(;C! ?@@bY!ND:>:!CD:!H:Q:KET<:LC!T>ETEGJK!>:\BF>:G!P>EBLHNE>W!NFCDFL!
?@@_O CD:!C>::!T>EC:;CFEL!ZEL:!ES!J!T>EC:;C:H!C>::Y!E>!FG!KFW:KI!CE!;JBG:!
HJ<JP:!CE!E>!>:<EQJK!ESY!JLI!T>EC:;C:H!C>::GY!CD:!JTTKF;JCFEL!FG!
J;;E<TJLF:H!=I!J!/>::!'JLJP:<:LC!7KJLO!!!
!
!
Waste
Management Plan
Preferred Format: /D:!>:K:QJLC!SE><!S>E<!CD:!-:Q:KET<:LC!8ELC>EK!8EH:!SE>!c:GC!7>J;CF;:!
3JGC:!'JLJP:<:LC!FL!CD:!(8/! ‰ +BTTKF:H!
,L;KBHFLP!+TEFK!
'JLJP:<:LC!7KJL!
•! /D:G:!SE><G!J>:!JQJFKJ=K:!S>E<!CD:!7KJLLFLP!JLH!0JLH!(BCDE>FCI!E>!
S>E<!CD:!(8/!.%3JGC:!N:=GFC:!JC!NNNOLENJGC:OJ;COPEQOJB!!
‰ .EC!>:\BF>:H!
ND:>:!>:K:QJLC! !
•! %LKI!>:K:QJLC!SE>!GFLPK:!HN:KKFLP!DEBGFLP!ND:>:!CD:!H:Q:KET<:LC!NFKK!
‰ Office Use!
P:L:>JC:!J!CECJK!ES!?@!;B=F;!<:C>:G!E>!P>:JC:>!ES!H:<EKFCFEL!JLHdE>!
:U;JQJCFEL!NJGC:!
Unapproved
Existing Works
Preferred Format: (`!E>!(#!cKJ;W!JLH!3DFC:!
•! 7KJLG!ES!CD:!H:Q:KET<:LC!GFPL:H!=I!J!>:PFGC:>:H!GB>Q:IE>!;ELSF><FLP! ‰ +BTTKF:H!
Plan (required
under Section 205
CD:!KE;JCFEL!JLH!HF<:LGFELG!ES!CD:!H:Q:KET<:LC!<BGC!=:!GB=<FCC:H!
NFCD!CDFG!JTTKF;JCFELO!!!
‰ .EC!>:\BF>:H!
of the Planning
and Development
•! 7KJLG!L::H!CE!;ELSF><!CD:!D:FPDCY!NFHCD!JLH!K:LPCD!HF<:LGFELG!ES!CD:!
H:Q:KET<:LC!JLH!CD:!G:C=J;W!HF<:LGFELG!ES!CD:!H:Q:KET<:LC!S>E<!
‰ Office Use!
Act 2007) CD:!=KE;W!=EBLHJ>F:GO!!!
•! ,LSE><JCFEL!<JI!=:!T>EQFH:H!EL!EL:!TKJL!E>!EL!J!G:>F:G!ES!TKJLG!
T>EQFH:H!:J;D!TKJL!FG!GFPL:H!=I!J!>:PFGC:>:H!GB>Q:IE>O!
!
!
!
Contact Details:
(8/!7KJLLFLP!JLH!0JLH!(BCDE>FCI!
8BGCE<:>!+:>QF;:!8:LC>:!
27%!cEU!"A@aY!8JL=:>>J!8FCI!?e@"!
"e!8DJKKFG!+C>::CY!-F;WGEL!(8/!?e@?!
cBGFL:GG!4EB>GX!aO#@J<!CE!`O#@T<!N::WHJIG!R:U;KBHFLP!7B=KF;!4EKFHJIGV!
7DEL:X!R@?V!e?@b!"A?#! ! $JUX!R@?V!e?@b!"A?_! ! //fX!R@?V!e?@b!?e??!
Email: !"#$%!&"'(#)*+,&(+,-."+(/!"#&0)-&!'1 Website: 222&!"#$%!&!"#&0)-&!'1

"#!
$%&'!"(!)!&*+,-*./,(0!1%.*+!+,.20*!-3*00,.2!4%5+,.2!-*6*0%7'*./!8%-*!9!-:;:<=:>!?@@A!
(BCDE>FG:H!=I!CD:!(8/!7J>KFJ<:LCJ>I!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!

You might also like