Amended DA Form 1 OPW18-0118

Department of Infrastructure, Local Government and Planning

DA Form 1 — Development application details
Approved form (version 1.0 effective 3 July 2017) 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 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,
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.

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

-elating 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) Noosaville Medical and Professional Centre Pty Ltd
Contact name (only applicable for companies) C/- Tod Consulting - Doug Reynolds
Postal address (P.O. Box or street address) PO Box 61
Suburb Noosaville
State Qld
Postcode 4566
¢ Country Australia
Contact number 5449 9600
Email address (non-mandatory) [email protected]
Mobile number (non-mandatory) 0488383370
Fax number (non-mandatory)
Applicant’s reference number(s) (if applicable) 17548
2.1) Is written consent of the owner required for this development application?
(1 Yes - the written consent of the owner(s) is attached to this development application
No — proceed to 3)

 

Queensland
Government