Western Australian Consolidated Regulations

PERRY LAKES REDEVELOPMENT REGULATIONS 2006 - SCHEDULE 2

1 .         Application for development approval (r. 3)

        (Office Use Only) Application No. . . . . .

Perry Lakes Redevelopment Act 2005 s. 32(1)

Application for a development approval

To: Western Australian Planning Commission

1.         Owner(s) of land proposed to be developed:

        Surname (or Company name) . . . . . . . . . . . . . Other names . . . . . . . . . . .

        Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

        Surname (or Company name) . . . . . . . . . . . . . Other names . . . . . . . . . . .

        Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2.         Applicant’s name in full (if owner put ‘Owner’) . . . . . . . . . . . . . . . . . . . . .

3.         Address for correspondence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

        Telephone No(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.         Address of land where development is proposed:

        . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.         Nearest road junction/intersection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6.         Name of local government(s) of the district(s) in which the land is situated:

        . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7.         Formal description of the land:

        Lot No(s). . . . . Location No. . . . . . . Deposited plan/Diagram No. . . . . .

        Certificate of Title Vol. . . . . . Folio . . . . . . . .

        Lot No(s). . . . . Location No. . . . . . . Deposited plan/Diagram No. . . . . .

        Certificate of Title Vol. . . . . . Folio . . . . . . . .

8.         Purpose for which the land is currently being used . . . . . . . . . . . . . . . . . . . .

9.         Description of existing buildings on the land . . . . . . . . . . . . . . . . . . . . . . . .

10.         Are existing buildings to be demolished in whole or in part?

            (a)         YES/NO         (b)         WHOLE/PART

11.         Description of the proposed development . . . . . . . . . . . . . . . . . . . . . . . . . . .

12.         Materials and colour to be used on external surfaces (including the roof) and any paved areas of the development . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13.         Estimated cost of the development $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14.         Estimated completion date of the development . . . . . . . . . . . . . . . . . . . . . . .

        Signature(s) of owner(s) of the land.         Signature(s) of applicant(s).

        . . . . . . . . . . . . . Date . . . . . . . . . .         . . . . . . . . . . . . . Date . . . . . . . . .

        . . . . . . . . . . . . . Date . . . . . . . . . .         . . . . . . . . . . . . . Date . . . . . . . . .

If signing on behalf of a company state how authorised to sign.

Note:         This application must be accompanied by 4 copies of the plan(s) and specifications for the development and the prescribed fee.