Form 3

Sheet No        of       Sheets

FP
Form 091

 FLOOR PLAN

1. LAND
District/Division	Section	Block		Unit Plan No	
     	     	     			

2. FLOOR NUMBER				 	    3. CLASS OF UNITS (A or B) – please indicate class of units
     	     	

4. FLOOR PLAN
SCALE: (graphic and bar)	

	

	

	

	

	

	

	

	

	

5. EXECUTION

……………………………………
Applicant 	……………………………………………………
Delegate of the 
ACT Planning and Land Authority