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Operational Works Application - DA Form 1 & Plans - 117 Woodhaven Way Coor

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     DA Form 1 - Development application details
     Approved form (version 1.3 effective 28 September 2020) made under section 282 of the Planning Act 2016.




     This form must be used to make a development application involving code assessment or impact assessment,
     except when applying for development involving only building work.

     For a development application involving building work only, use DA Form 2 - Building work details.

     For a development application involving building work associated with any other type of assessable development
     (i.e. material change of use, operational work or reconfiguring a lot), use this form (DA Form 1) and parts 4 to 6 of
     DA Form 2 - Building work details.

    Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
    accompany the development application.

     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.

     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.


    Note:         All terms used in tNs 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


    Applicant name(s) {individual or company full name)

     Contact name (only applicable for companies)

     Postal address (PO. Box or street address)



    State

    Postcode
                    U-C 34-
    Co untry
                     A^r
    Contact number

    Email address (non-mandatory)                            C\ cT-iOvxo               (c>V-\oVp-v>_» \ . C-Oo-'-
    Mobile number (non-mandatory)

    Fax number (non-mandatory)

    Applicant’s reference number(s) (if applicable)




    Yes - the written consent of the owner(s) is attached to this development application
    No - proceed to 3)
                                                                                                                                                   ter,
                                                                                                                                                                             Oil


                                                                                                                                                          (S'
    PART 2 - LOCATION DETAILS                                                                                                                                   L

    3) Location of the premises (complete 3,1) or 3.2), ana 3,3) as 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.


                                                                                                                                                                    ......
    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).
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