Costelloe - DA Form 1

DA Form 1 — Development application details
Approved form (version 1.6 effective 2 August 2024) 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 7) 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 CX

 
 

1), Applicant details

   

 

 

 

 

 

 

 

 

 

 

 

Applicant name(s) (individual or company full name) Tok Cx é loa fo /4 * ef Tara Cua
Contact name (only applicable for companies)

Postal address (P.O. Box or street address) (SS Gea Be | | t Crack kA
Suburb co kay 7

State a ‘

Postcode a 563

Country BaKtvecA os

Contact number OgnA731 722

Email address (non-mandatory) am vke —_ IAM IAA LAR

Mobile number (non-mandatory) Ds eheyvar a

Fax number (non-mandatory) —_

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

 

 

 

1.1). Home-based business i
LJ Personal details to remain private in accordance with section 264(6) of Planning Act 2016

 

 

2) Owner's consent

  

2.1) ls written consent of the owner required for this development application?

 

C1] Yes — the written consent of the owner(s) is attached to this development application
[ANo ~ proceed to 3)

 

Queensland
Government