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					                                                           Planning Permit Activity Reporting
                                                        Data Request Form
Please note that, unless otherwise arranged, a minimum of three days is required to extract and prepare a data request. Please take this into
consideration when making detailed requests.
Also note that all data remains the property of the Responsible Authority that provided it. As such, certain types of detailed data may be
unavailable for some data requests.
When completed, please email to carolyn.madden@dpcd.vic.gov.au or fax to 9637 8108


Requested on (date):                                                                                                           Request ID:




                                                                                                                   DPCD ONLY
Required by (date):

                                                    Person Requesting the Data

Name:

Department:

Group/Business Unit:

Address:

Telephone number:

Email address:


                                                         Data Request Basics

Topic/
Keyword Search:
(eg Aged Care)




How will the data be
used?




What is required:               A count/statistical breakdown of applications that fit specifications
                                A detailed list of applications that fit specifications
                                Map(s) of applications that fit specifications

Date period:                    Calendar year: 1 January, 20_____ to 31 December, 20_____
(check one only)                Financial year: 1 July, 20_____ to 30 June, 20_____
                                Other period (please specify): _____/_____/________ to _____/_____/________


Application                     Only applications received in the period specified above.
specifics:                      Only applications decided in the period specified above.*
(check one only)                Both applications decided and received within the period specified above.*
                                *Please specify all application outcomes required:
                                       Permit/NOD Issued
                                       Permit Refused
                                       No Permit Required
                                       Application Withdrawn
                                       Application Lapsed
                                                                Data Request Specifics

Applications:                                By Planning Scheme          By Responsible Authority

Relevant Schemes/                            All state
Responsible                                  All Metropolitan
Authorities:                                 All Rural/Regional
(check one only)                             Other (please specify):

Specify data fields                          Victorian Planning Scheme Code                    Statutory Time Frame (Y/N)
required:                                    Application Identifier                            Cultural Heritage Management Plan (Y/N)*
(tick all that apply.
                                             Application Type                                  Cultural Heritage Management Plan Date*
Refer to the “
                                             Property Location                                 Number of New Dwellings (Yield)*
Return Data Sheet”
                                             Fees                                              Application Categories (see below)
for more information)
                                             Pre-Application Meeting (Y/N)                     Current Land Use (see below)
                                             Estimated Cost of Works                           Proposed Land Use (see below)
                                             Proposed Use of Development                       RA Outcome
                                             Date Application Received                         Date of RA Outcome
                                             Estimated Assessment Effort                       VCAT Reference Number
                                             Further Information Requested (Y/N)               VCAT Lodgement Date*
                                             Public Notice (Y/N)                               VCAT Outcome
                                             Referral Issued (Y/N)                             Date of VCAT Outcome
                                             Objections                                        *May not be available for all Municipalities


Specify application                          Change or extension of use                        Native vegetation removal
categories required:                         Alterations to a building structure or            Other vegetation removal
(tick all that apply.                        dwelling                                          Consolidation
Refer to the “                               Extension to an existing dwelling or              Subdivision land (1 to 9 lots)
Return Data Sheet”                           structure associated with a dwelling              Subdivision land (10 or more lots)
for more information)                        Extension to existing building or                 Subdivision buildings
                                             structure (other than dwelling)                   Subdivision - Change to easement and/or
                                             One or more new buildings                         restrictions
                                             One new dwelling                                  Subdivision - Removal of covenant
                                             More than one new dwelling but less               Subdivision - Realignment of Boundary
                                             than 10                                           Liquor License
                                               ore          new dwellings                      Waiving of parking requirement
                                             Other buildings and works (including              Signage
                                             septic tanks, dams, earthworks)                   Telecommunications Facility
                                             Demolition                                        Other

Specify current land                         Agriculture                                       Other land use
use categories re-                           Food and drink premises                           Child care
                                             Industry and warehouse                            Education centre
quired:                                      Leisure & recreation                              Mineral extraction
(tick all that apply.                        Office                                            Pleasure boat facility
Refer to the “                               Place of assembly                                 Transport terminal
Return Data Sheet”                           Residence                                         Utility installation
for more information)                        Retail                                            Mixed Use
                                             Vacant

Specify proposed                             Agriculture                                       Other land use
land use categories                          Food and drink premises                           Child care
                                             Industry and warehouse                            Education centre
required:                                    Leisure & recreation                              Mineral extraction
(tick all that apply.                        Office                                            Pleasure boat facility
Refer to the “                               Place of assembly                                 Transport terminal
Return Data Sheet”                           Residence                                         Utility installation
for more information)                        Retail                                            Mixed Use
                                             Vacant

                 Other data sets required:
 DPCD USE ONLY




                 Source:                                                              Notes:

                 Contact:

                 Date Completed:

				
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Description: PPARS Data Request Form.pub