180373 - DA Form 2 · OPW18/0304

 Unit No.             Street No.         Street Name and Type                                 Suburb
                      Lot 1 (No.95)      Hollett Road                                         Noosaville
 Postcode             Lot No.            Plan Type and Number (e.g. RP, SP)                   Local Government Area(s)
 4566              1                     SP176590                                             Noosa Shire Council
 2.2) Additional premises

 ☐ Additional premises are relevant to this development application and the details of these premises have been
 attached in a schedule to this development application

 3) Are there any existing easements over the premises?
 Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on ease ments and how
 they may affect the proposed development, see the DA Forms Guide

 ☐ Yes – All easement locations, types and dimensions are included in plans submitted with this development
            application
 ☑ No

PART 3 – FURTHER DETAILS
 4) Is the application only for building work assessable against the building assessment provisions?
 ☑ Yes – proceed to 8)
 ☐ No
 5) Identify the assessment manager(s) who will be assessing this development application


 6) Has the local government agreed to apply a superseded planning scheme for this development application?
 ☐ Yes – a copy of the decision notice is attached to this development application
 ☐ The local government is taken to have agreed to the superseded planning scheme request – relevant documents
 attached
 ☐ No
 7) Information request under Part 3 of the DA Rules
 ☐ I agree to receive an information request if determined necessary for this development application
 ☐ I do not agree to accept an information request for this development application
 Note: By not agreeing to accept an information request I, the applicant, acknowledge:
     that this development application will be assessed and decided based on the information provided when making this development application
     and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA Rules to
     accept any additional information provided by the applicant for the development application unless agreed to by the relevant parties.
    Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
 Further advice about information requests is contained in the DA Forms Guide.


 8) Are there any associated development applications or current approvals?
 ☐ Yes – provide details below or include details in a schedule to this development application
 ☑ No
 List of approval/development             Reference                              Date                                  Assessment
 application                                                                                                           manager
 ☐ Approval
 ☐ Development application
 ☐ Approval


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