170903 ADAMS + SPARKES Minor Change Application · 51993.615.03

DA Form 2 – Building work details
Approved form (version 1.0 effective 3 July 2017) made under Section 282 of the Planning Act 2016.

This form must be used to make a development application involving building work.
For a development application involving building work only, use this form (DA Form 2) only. The DA Forms Guide
provides advice about how to complete this form.
For a development application involving building work associated with any other type of assessable development,
use DA Form 1 – Development application details and parts 4 to 6 of this form (DA Form 2).
Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.
One or more additional pages may be attached as a schedule to this development application if there is insufficient space
on the form to include all the necessary information.

  This form and any other form relevant to the development application must be used to make a development application
  relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994, and airport land
  under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a development
  application relating to strategic port land and Brisbane core port land, any reference to a planning scheme is taken to
  mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core port land, or a land use
  plan for airport land.

Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
      Assessment Rules (DA Rules).



PART 1 – APPLICANT DETAILS
 1) Applicant details
 Applicant name(s) (individual or company full name)               Tim Barrett and Jane Eakin C/- ADAMS + SPARKES Town Planning
 Contact name (only applicable for companies)                      Michael Lyell
 Postal address (PO Box or street address)                         PO Box 1000
 Suburb                                                            BUDDINA
 State                                                             QLD
 Postcode                                                          4575
 Country
 Contact number                                                    170903
 Email address (non-mandatory)                                    [email protected]
 Mobile number (non-mandatory)
 Fax number (non-mandatory)
 Applicant’s reference number(s) (if applicable)                   170903


PART 2 – LOCATION DETAILS

 2) Location of the premises (complete 2.1 and/or 2.2 if applicable)
 Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA Forms
 Guide: Relevant plans.
 2.1) Street address and lot on plan
     Street address AND lot on plan (all lots must be listed), or
     Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water but
 adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).




                  PagedPage 1