DBW Application - 30 Upper Pinbarren Creek Rd Pinbarren

 Unit No.            Street No.         Street Name and Type                               Suburb


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

                                                                 V-P          o (S'          ____
 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
 H Not required


 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 easements 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
 0 No


PART 3 - FURTHER DETAILS

 4) Is the application only for building work assessable against the building assessment provisions?
 O Yes - proceed to 8)
 Q 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 6) Has the local government agreed to apply a superseded planning scheme for this development application?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 □ The local government is taken to have agreed to the superseded planning scheme request - relevant documents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
 Q No

 7) Information request under Part 3 of the DA Rules
 H 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
 B No__________________
 List of approval/development      Reference                       Date                    Assessment manager
 application
 □ Approval
 □ Development application
 □ Approval
 □ Development application

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                                                                                                                DA Form 2 - Building work details
                                                                                                                  Version 1.2— 7 February 2020