DBW Application - 30 Upper Pinbarren Creek Rd Pinbarren

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DA Form 2 - Building work details
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Approved form (version 1.2 effective 7 February 2020) made uni^t Se&ti&ff 282       L                  Noosa Council

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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 and any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), 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)                                                  /4<Y/V^         (yy^Ls\-A/}l^L
  Contact name (only applicable for companies)
  Postal address (PO Box or street address)

  Suburb
  State
  Postcode                                                                         t-rSG*’
  Country
  Contact number
  Email address (non-mandatory)                          r ce
  Mobile number (non-mandatory)                                          OH i A        '7o 3
  Fax number (non-mandatory)
  Applicant’s reference number(s) (if applicable)


PART 2 - LOCATION DETAILS                                                                                                                   I• C


  2) Location of the premises (complete 2.1 and 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
  Q 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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