Application Form

PART 2 —LOCATION DETAILS

3) Location of the premises (complete 3.1) or 3.2), and 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.
3.1) Street address and lot on plan
[X] Street address AND lot on plan (ail lots must be listed), Or

LJ 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).

   

 

 

 

 

 

 

 

Unit No. | Street No. | Street Name and Type Suburb

4 10 Of4e Sreeer Cookoy
Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4563 6 RP 82318 Noosa (ounce
Unit No. | Street No. | Street Name and Type Suburb

b)
Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)

 

 

 

 

 

 
     
   

3.2) Coordinates of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land
e.g. channel dredging in Moreton Bay)

Note: Place each set of coordinates in a separate row. Only one set of coordinates is required for this part.
LJ Coordinates of premises by longitude and latitude

 

 

 

 

 

 

 

 

 

Longitude(s) Latitude(s) | Datum Local Government Area(s) (if applicable)
(1 wese4
LC GDA94
(J Other:
C1 Coordinates of premises by easting and northing
Easting(s) | Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
(154 Cl wese4 |
L] 55 C1 Gpag4
| | 156 1 Other:

 

 

3.3) Additional premises

CJ Additional premises are relevant to this development application and their details have been attached in a
schedule to this application

fX Not required

 

4) Identify any of the following that apply to the premises and provide any relevant details

 

C1 In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer:

CJ On strategic port land under the Transport Infrastructure Act 1994
Lot on plan description of strategic port land:

Name of port authority for the lot:

CJ In a tidal area

 

 

 

 

 

Name of local government for the tidal area (if applicable):
Name of port authority for tidal area (if applicable):
CJ On airport land under the Airport Assets (Restructuring and Disposal) Act 2008

Name of airport:

 

 

 

 

 

 

Page 2
DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018