Lot Reconfiguration (1 Lot into 2) - RAL19/0030

DA Form 1 - Development application details
Approved form (version 1.1 effective 22 JUNE 2018) 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
(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.
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)                Philip Alan Starkey
  Contact name (only applicable for companies)

  Postal address (P.O. Box or street address)                        212/61 Noosa Springs Drive
  Suburb                                                             Noosa Heads
  State                                                              QLD
  Postcode                                                           4567
  Country                                                            Australia
  Contact number                                                     041 888 3641
  Email address (non-mandatory)                                      [email protected]
  Mobile number (non-mandatory)                                      041 888 3641
  Fax number (non-mandatory)

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

  2) Owner’s consent
  2.1) Is written consent of the owner required for this development application?
  □ Yes - the written consent of the owner(s) is attached to this development application
  Sr^lo - proceed to 3)




                                                                                                                      Queensland
                                                                                                                   mf Government