2 Kestrel Crescent; 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 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

 

 

 

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) A, nod roe CE ne i Andver Merle FeAn

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact name (only applicable for companies) Seesaw ~\WAM Concvesbrow Cte (AADNORA
Postal address (P.0. Box or street address) Pp oO RB ek 2oy

Suburb Pocaun Beach

State Aus

Postcode 4O1S

Country Reon. :

Contact number Andes O41 $284 14

Email address (non-mandatory) info G Cree CenQere tk on. Lown. CM
Mobile number (non-mandatory)

Fax number (non-mandatory)

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

 

  

 

   
 
 
 
 

    

1.1) Home-based business

_] Personal details to remain Private in accordance with section 264(6) of Planning Act 2016

     
 
 

2) Owner’s consent

En cuee ae owner required for this development application?

on — the written consent of the owner(s) is attached to this development application
4 No — proceed to 3)

  
 

Dp Queensland
> Government