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

!"#$%&'%

RESIDENTIAL ZONES -SINGLE DWELLING HOUSINGDEVELOPMENT CODE!%

&%'((#")*+%,"#$%'!-.&./&%0((#")*+%12%3*45%60)*#2%75088489%08+%:08+%';08;0#2%-.&.%;8+*#%?*@

8/8/2019 Test Act

2/13

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(ABCD>EF:G!=H!BC:!(8/!7I>JEIH!8DAKF:JLIJFD!I;;:FFE=J:!IB!MMMNJ:OEFJIBEDKNI;BNODPNIA!

!

Lessee (Property Owners) Details Please Print

1st

Lessees Details (or Government Land Custodian)

Surname

First Name

Company Name

Position held incompany

AustralianCompany/BusinessNumber (ACN/ABN)

Postal Address

Suburb

State Postcode

Phone Number

Business HoursMobile

EMAIL ADDRESS

2nd Lessees Details (or Government Land Custodian)

Surname

First Name

Company Name

Position held incompany

AustralianCompany/BusinessNumber (ACN/ABN)

Postal Address

Suburb

State Postcode

Phone Number

Business Hours

Mobile

EMAIL ADDRESS

Alllesseesmustsign authorising the lodgement of this development application. In doing so the lessee gives authorityto the applicant to negotiate any dealings in relation to the application through to its determination. If there are morethan two lessees please ensure that the details and authorisation are attached to the application.

Notice of Decision and PlansUnless otherwise specified your notice of decision and/or plans will be returned via email

!

EMAIL ! POST TO ME ! HOLD FOR COLLECTION

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(BCDE>FG:H!=I!CD:!(8/!7J>KFJI!8EBLG:KMJKGE!J;;:GGF=K:!JC!NNNOK:PFGKJCFELOJ;COPEQOJB!

Fully Describe Your ProposalEXAMPLES:!1.!-::;CFEL!ER!J!L:N!CNE!GCE>:I!>:GFH:L;:!NFCD!JCCJ;D:HSH:CJ;D:H!PJ>JP:!JLH!GNF!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!FCI!JGG:GG:G!JL!JTTKF;JCFEL!>:;C!JGG:GGJ;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:KETCGZ!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

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4/13

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!

Gross Floor Area (GFA) and Cost of Works!

Gross Floor Area Calculation!!(!!)!!2>EGG!#KEE>!(>:J!R:SFGCFLPT! ! UUUUUUUUUUUU!EGG!#KEE>!(>:J!CE!=:!H:

8/8/2019 Test Act

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WASTEMANAGEMENT!!!

RELEVANT*LCFCI!*LHE>G:EQFH:H!%:SBF>:H!HE;BEQFH:H!TE>!>:T:>>JK!CE!*LCFCI!

NOTE: Only relevant for single dwelling housing where the development willgenerate a total of 20 cubic metres or greater of demolition and/or excavation

waste

NOT RELEVANT

EROSION & SEDIMENTCONTROL#E>!GFC:G!K:GG!CDJL!@OU!ET!J!D:;CJ>:!

RELEVANT*LCFCI!*LHE>G:EQFH:H!%:SBF>:H!HE;BEQFH:H!TE>!>:T:>>JK!CE!*LCFCI!

NOTE: All new dwellings (including in established areas) require a plan thatprovides details of the sediment and erosion control measures including: sedimentcontrol barrier, designated cutting area and wash area, stockpiles and stabilisedaccess point.For works such as class 10 structures, additions and alterations, and backyardswimming pools - a note on the plan that "the development will comply with theACT Environment Protection Authority, Environment Protection Guidelinesfor Construction and Land Development in the ACT, August 2007" is required.In circumstances where there is a reasonable risk that soil from the required earthworks in the front of the block will impact on the stormwater system because theblock slopes towards the street a separate Erosion & Sediment Control Plan will berequired.

NOT RELEVANT

EROSION & SEDIMENTCONTROL#E>!GFC:G!P>:JC:>!CDJL!@OU!ET!J!D:;CJ>:!

RELEVANT*LCFCI!*LHE>G:EQFH:H!%:SBF>:H!HE;BEQFH:H!TE>!>:T:>>JK!CE!*LCFCI

NOT RELEVANT

!

Information Requirements for Development Applications (Non Referral Matters)!

/D:!/:>>FCE>I!7KJL!JKGE!>:SBF>:G!IEB!CE!;ELGFH:>!CD:!TEKKENFLP!FC::RJ>FLP!IEB>!H:Q:KER!R>EREGJK!IEB!EQFH:!HE;B!R>EREGJK!;E:SBF>:>FCE>I!7KJLO!

SUBDIVISIONV%:GFH:LCFJK!1EL:GW!

RELEVANT%:SBF>:H!HE;BEQFH:H!!

NOT RELEVANT

WATER SENSITIVEURBAN DESIGN

RELEVANT%:SBF>:H!HE;BEQFH:H!!

NOTE: Relevant for all new single dwellings & for additions andalterations that increase the roof area by more than 50% ONLY.

NOT RELEVANT

!

Utilities Requirements ActewAGL & Stormwater!

#E>!JKK!H:Q:KERB;CFEL!CD:!KE;JCFEL!JLH!LJCB>:!ET!:J>CDNE>XGY!BCFKFCI!;ELL:;CFELGY!R>EREG:H!=BFKHFLPGY!RJQ::G!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 StandardsWater, Electricity, Sewerage and Gas

Please contact ActewAGL on6248 3555or visit their websitewww.actewagl.com.au

Stormwater Easements

Please contact Asset Acceptance via Canberra Connect on132281 or visit their websitewww.tams.act.gov.au

PLEASE CAREFULLY READ THE APPLICANT DECLARATION BEFORE SIGNING THIS FORM

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Driveways (For works on verge only)!

#E>!R>EREGJKG!CDJC!FL;KBH:!;ELGC>B;CFEL!E>!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:[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>F:H!EBC!R>:RJ>:H!JLH!GFPL:H!=I!J!>:PFGC:>:H!GB>Q:IE>!!;ELSF>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:KERB;CFEL!CD:!KE;JCFEL!JLH!LJCB>:!ES!:J>CDNE>UG\!BCFKFCI!;ELL:;CFELG\!R>EREG:H!=BFKHFLPG\!RJQ::G!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!FCI!E>!&FLFGC:>!:QEU:!JL!JRR>EQJK!FS!GJCFGSF:H!CDJC!CD:!JRR>EQJK!NJG!E=CJFL:H!=I!S>JBH!E>!:R>:G:LCJCFELO!

!

Exclusion from Public Inspection!

,L!J;;E>HJL;:!NFCD!CD:!>:[BF>:FCI!

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Exclusion from Public Inspection continuedPlease 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>:

! J!=BFKHFLP!E>!GC>B;CB>:!FLC:LH:H!CE!=:!DFPD:>!CDJL!?`

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8/8/2019 Test Act

8/13

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Applicant and Lessee Declaration

,RN:!CD:!BLH:>GFPL:HS!D:>:=I!JTTKI!UE>!JTT>EQJK!CE!;J>>I!EBC!CD:!H:Q:KETF=:H!EL!CD:!KJLH!GT:;FUF:H!FL!CDFG!JTTKF;JCFELV!!,RN:!H:;KJ>:!CDJC!CDFG!JTTKF;JCFEL!FG!J;;E:WBF>:H!FLUE>!HE;B: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>FE>!CE!CD:!TJI!FLUE>:H!T>FE>!CE!CD:!J;;:TCJL;:!EU!CD:!H:Q:KETFCIV!!,!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:;C!JGG:GGJ;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;BEQFH:H!EL!8-R-6-!E>!QFJ!CD:!:K:;C>ELF;!KEHPE;:GG!NFKK!=:!;ELGFH:>:H!CE!=:!CD:!>:K:QJLC!HE;B: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:::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!!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:>LG!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:KJCFEL!CE!CDFG!-:Q:KETFG: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!T>EQFH:!UB>CD:>!FLUE>I!JLH!>:;:FQ:!JLI!;E:KJCFLP!CE!BCFKFCI!GCJLHJ>HGS!J;;:GG!T>EQFGFELG!JLH!JGG:C!;K:J>JL;:!]EL:G!DJG!=::L!GEBPDC!U>E:K:QJLC!BCFKFCI!T>EQFH:>G!JLH!CDFG!H:Q:KET:TJ>:H!FL!J;;E>HJL;:!NFCD!CD:F>!>:WBF>:GCJLH!CDJC!;EGCG!JGGE;FJC:H!NFCD!CD:!>:KE;JCFEL!EU!JLI!:LPFL::>FLP!G:>QF;:G!ZKFPDC!TEK:GS!GCE>S!GB: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!:;:FQ:H!:LHE>G::K:QJLC!PEQ:>LGCJLH!CDJC!J!8:>CFUF;JC:!EU!-:GFPL!(;;:TCJL;:!JLH!J!%EJH!$T:LFLP!7:>I!&JLJP:LFE>!CE!CD:!GCJ>C!EU!;ELGC>B;CFEL!NE>XGV!!

,RN:!H:;KJ>:!CDJC!JKK!CD:!FLUE>B:!JLH!;EGFPL:HS!H:;KJ>:!,RN:!DJQ:!CD:!JTT>ET>FJC:!H:K:PJCFEL!E>!JBCDE>FCI!CE!GFPL!EL!=:DJKU!EU!CD:!;EPJLFGJCFEL!E>!2EQ:>L

8/8/2019 Test Act

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10/13

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!

DOCUMENTATION REQUIREMENTSRESIDENTIAL ZONES - SINGLE DWELLING HOUSING DEVELOPMENT CODE

!

Key:!

! &:QAE>:G!!!!&:QAE>:G!ER!>:J:PIKB!!!! !!!'IH!=:!>:QA:FB:G!IF!RA>BC:>!EKRD>!EB!B>I;T!IFF:FFI=J:!-:P:JDU!7A=JE;!&:OEFB:>!W!7A=JE;!.DBERE;IBEDK!.D!EKB:>KIJ!JIHDAB!FCDMK!RD>!>:FEG:KBEIJ!G:P:JDU!EB!B>I;T!IFF:FFI=J:!-:P:JDU:G!AKJ:FF!:X::J:PIKB!RD>!FEKOJ:!GM:JJEKO!CDAFEKO!MC:>:!BC:!G:P:JDUIB:!I!BDBIJ!DR!?#!;A=E;!:F!D>!O>:IB:>!DR!G:!:X;IPIBEDK!MIFB:!

Driveway Plan!!$D>!MD>TF!DK!P:>O:!DKJH!

! ! ! ! ! ! !

Relevant Entity AdviceMandatory!RD>!-(F!BD!=:!IFF:FF:G!EK!Code track!%UBEDKIJ!RD>!-(F!BD!=:!IFF:FF:G!EK!':>EB!B>I;T!

Documentation to satisfy relevant entity referral and non referralrequirements 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!:!BCIK!Y#[!%.0\!

! ! ! !

Unapproved Existing Works Plan

!!!

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11/13

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!

SubmissionRequirement

Required Information

Driveway Plan$D>!MD>QF!DK!P:>O:!DKJH!

Preferred Format:

(R!STD>B>IEBU!=JI;Q!IKG!MCEB:!"V#??!

! *WEFBEKO!O>DAKG!J:P:JF!IKG!BC:!GIBAQ!AF:G!BD!D=BIEKEKO!J:P:JF!

! /HT:!DX!Q:>=!Y!OABB:>!EN:N!JIH=I;Q!D>!P:>BE;IJ!

! *WEFBEKO!D>!EKB:KG:G!XDDBTIBCF!Y!BC:E>!IJEOK=!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!#=!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=!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\!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!:!;IKDTH\!"N#!:F!;J:I>!DX!FAPE;:F\!"N]!:F!;J:I>!DX!B>IKFXD>F\!^!: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:aAE>:G!

Office Use

Colour SampleSchedule

Preferred Format:

(b\!(R\!;DJDA>!

! 7>DTDF:G!:WB:>KIJ!EIJ!;DJDA>!F;C:GAJ:!>:X:>:K;:G!BD!BC:E>!JD;IBEDK!IKG!AF:!S:NON\!>DDXEKO\!MEKGDMF\!:WB:>ED>!MIJJFU!DK!:J:PIBEDKF!!

! +;C:GAJ:!BD!EG:KBEXH!KIIKGF!DX!:WB:>ED>!;DJDA>F!XD>!EIJF!!

!

+ATTJE:G!.DB!>:aAE>:G!Office Use

Demolition Plan

Preferred Format:

(R!S("!XD>!JI>O:!D>!;DDTDFIJFU!=JI;Q!Y!MCEB:!"V#??!

! ,G:KBEXE;IBEDK!DX!IJJ!=AEJGEKOF!IKG!FB>A;BA>:F!T>DTDF:G!BD!=:!G::aAE>:G!Office Use

Erosion &Sediment ControlPlan

Preferred Format:

(R!S("!XD>!JI>O:!D>!;DDTDFIJFU!=JI;Q!IKG!MCEB:!

! 7>:TI>:G!EK!I;;D>GIK;:!MEBC!(8/!*KPE>DKDB:;BEDK!(ABCD>EBH\!*KPE>DKDB:;BEDK!2AEG:JEK:F!XD>!8DKFB>A;BEDK!IKG!0IKG!

-:P:JDT!MD>QF!FA;C!IF!;JIFF!"?!FB>A;BA>:F\!IGGEBEDKF!IKG!IJB:>IBEDKF\!IKG!=I;QHI>G!FME:!EF!I!>:IFDKI=J:!>EFQ!BCIB!FDEJ!X>D:aAE>:G!:I>BC!MD>QF!EK!BC:!X>DKB!DX!BC:!=JD;Q!MEJJ!E!FHFB:GF!BC:!FB>::B!!

+ATTJE:G!

.DB!>:aAE>:G

!Office Use

Survey CertificateSIF!>:aAE>:G!=H!+:;BEDK!"R@S#U!SEU!7JIKKEKO!Y!-:P:JDT:IF\!IF!ITT>DT>EIB:!XD>!DBC:>!I>:IF!(AFB>IJEIK!4:EOCB!-IBA

! /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:!! -EO:!

! 7>:TI>:G!IKG!FEOK:G!=H!>:OEFB:>:G!+A>P:HD>!!

+ATTJE:G!.DB!>:aAE>:G!Office Use

ShadowDiagram(s)

Preferred Format:

(R!S("!XD>!JI>O:!D>!;DDTDFIJFU!=JI;Q!IKG!MCEB:!"V"??!

! *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

! /C:!JD;IBEDK!DX!T>DTDF:G!=AEJGEKOF!IKG!FB>A;BA>:F!

! +CIGDMF!;IFB!=H!T>DTDF:G!=AEJGEKOF\!>:BIEK:G!=AEJGEKOF\!:WEFBEKO!X:K;:F!IKG!T>DTDF:G!X:K;:F!IB!@I

8/8/2019 Test Act

13/13

!

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!

SubmissionRequirement

Required Information

Landscape Plan

Preferred Format:

(#!R("!SE>!KJ>P:!E>!;EETEGJKGV!=KJ;W!JLH!NDFC:!"X?@@!7>ETEG:H!KJLHG;JTFLP!TKJL!CE!FL;KBH:X!

! 7>ETEG:H!TKJLCFLP!H:CJFKGY!FL;KBHFLP!TKJLC!GT:;F:G!JLH!;E: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: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>:JCCIJ>H!NJKKG!JLH!S:L;:G!

! +B>SJ;:!C>:JCQFEBG!JLH!FQFEBG!GB>SJ;:G!

! +B>SJ;:!GCE>!: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!!

+BTTKF:H!.EC!>:\BF>:H!

Office Use

Tree ManagementPlan.EC:X!]7>EC:;C:H!C>::^!FG!H:SFL:H!BLH:>!CD:!/>::!7>EC:;CFEL!(;C!?@@_O

Preferred Format:

(`Y!=KJ;W!JLH!NDFC:!"X?@@!

! 7>:TJ>:H!FL!J;;E>HJL;:!NFCD!-:TJ>C>FCE>I!JLH!'BLF;FTJK!+:>QF;:G!2BFH:KFL:G!SE>!7>:TJ>FLP!J!/>::!'JLJP:HJL;:!NFCD!G:;CFEL!"`a!ES!CD:!7KJLLFLP!JLH!-:Q:KET:!CD:!H:Q:KETETEGJK!>:\BF>:G!P>EBLHNE>W!NFCDFL!CD:!C>::!T>EC:;CFEL!ZEL:!ES!J!T>EC:;C:H!C>::Y!E>!FG!KFW:KI!CE!;JBG:!HJ!>:EC:;C:H!C>::GY!CD:!JTTKF;JCFEL!FG!J;;E::!'JLJP::\BF>:H!Office Use

WasteManagement Plan,L;KBHFLP!+TEFK!'JLJP::!>:K:QJLC!

Preferred Format:

/D:!>:K:QJLC!SE>EEK!8EH:!SE>!c:GC!7>J;CF;:!3JGC:!'JLJP::!JQJFKJ=K:!S>EFCI!E>!S>E

!! %LKI!>:K:QJLC!SE>!GFLPK:!HN:KKFLP!DEBGFLP!ND:>:!CD:!H:Q:KETJC:!J!CECJK!ES!?@!;B=F;!:G!E>!P>:JC:>!ES!H:!:U;JQJCFEL!NJGC:!

+BTTKF:H!.EC!>:\BF>:H!Office Use!

UnapprovedExisting WorksPlan (requiredunder Section 205of the Planningand DevelopmentAct 2007)

Preferred Format: (`!E>!(#!cKJ;W!JLH!3DFC:!

! 7KJLG!ES!CD:!H:Q:KET:PFGC:>:H!GB>Q:IE>!;ELSF>!EL!J!G:>F:G!ES!TKJLG!T>EQFH:H!:J;D!TKJL!FG!GFPL:H!=I!J!>:PFGC:>:H!GB>Q:IE>O!

!

+BTTKF:H!.EC!>:\BF>:H!Office Use!

!!

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

Email: !"#$%!&"'(#)*+,&(+,-."+(/!"#&0)-&!'1 Website: 222&!"#$%!&!"#&0)-&!' 1

Documents

Test Act