VICSMART PLANNING ASSESSMENT REPORT APPLICATION DETAILS APPLICATION

Model delegate report

Application Number:	[type here]
Application is for:	[Use VPP terms where possible]
Applicant’s/Owner’s Name:	[type here]
Date Received:	[type here]
Land/Address:	[type here]
Zoning:	[type here]
Overlays:	[type here]
Under what clause(s) is a permit required?	[type here]
What VicSmart provisions apply?	[type here]
Restrictive covenants on the title?	[type here]
Current use and development:	[type here]

[Use VPP terms where possible together with relevant details]

Has an inspection of the site and the surrounding area has been undertaken?

Yes No

External Referrals Required by the Planning Scheme:

Referrals/Notice	Advice/Response/Conditions
Section 55 Referrals	[type here]

Provide an assessment of the application against the relevant VicSmart decision guidelines: [type here]

[Provide a summary of what the decision will be including reasons why a decision was made.]

Tick the relevant box:

Grant a permit for [type what the permit is for here], subject to the following conditions:

(include Clause 66 mandatory conditions if relevant)

Refusal to grant a permit for [type what the application was for here], for the following reasons:

Sample officer report - VicSmart Page 2