DA Form 1 & Plan

DA Form 1 — Development application details
Approved form (version 1.3 effective 28 September 2020) 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 only 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
(i.e, material change of use, operational work or reconfiguring a lot), 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.

 

his 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
pplication relating to strategic port land and Brisbane core port land, any reference to a planning scheme is taken to
ean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core port land, or a land use
lan for airport land.

 

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.

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

Applicant name(s) (individual or company full name) scon 2 ELAWE DUTT

 

 

 

 

 

 

 

 

Contact name (only applicable for companies) ScotTT How

Postal address (PO. Box or street address) Po Rox (24 eeohey

Suburb ce eRoy

State QD

Postcode USER

Country BUSTRAALIA

Contact number OLCOY AXSSON

Email address (non-mandatory) soot .-< llistt ele ANN aA LOW RY
Mobile number (non-mandatory) © lol @ysan

 

Fax number (non-mandatory)

 

Applicant’s reference number(s) (if applicable)

 

 

 

 

  

— the written consent of the owner(s) is attached to this development application
lo — proceed to 3)

 

 

 

PART 2 — LOCATION DETAILS