Appendix A - DA Form 1 and Owner's Consent

   11) Dividing land into parts by agreement – how many parts are being created and what is the intended use of the
   parts?
   Intended use of parts created             Residential              Commercial              Industrial               Other, please specify:


   Number of parts created

   12) Boundary realignment
   12.1) What are the current and proposed areas for each lot comprising the premises?
                                    Current lot                                                                 Proposed lot
   Lot on plan description                    Area (m2)                               Lot on plan description                Area (m2)



   12.2) What is the reason for the boundary realignment?



   13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
   (attach schedule if there are more than two easements)
   Existing or               Width (m)        Length (m)        Purpose of the easement? (e.g.                     Identify the land/lot(s)
   proposed?                                                    pedestrian access)                                 benefitted by the easement




Division 3 – Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.
   14.1) What is the nature of the operational work?
       Road work                                                Stormwater                             Water infrastructure
       Drainage work                                            Earthworks                             Sewage infrastructure
       Landscaping                                              Signage                                Clearing vegetation
       Other – please specify:

   14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
       Yes – specify number of new lots:
       No
   14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)
   $

PART 4 – ASSESSMENT MANAGER DETAILS
   15) Identify the assessment manager(s) who will be assessing this development application
   Noosa Shire Council
   16) Has the local government agreed to apply a superseded planning scheme for this development application?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
       Local government is taken to have agreed to the superseded planning scheme request – relevant documents
   attached
       No




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                                                                                                          DA Form 1 – Development Application details
                                                                                                                        Version 1.1— 22 JUNE 2018