DAForm1-Developmentapplicationdetails - Goodchap

DA Form 1 – Development application details
Approved form (version 1.0 effective 3 July 2017) 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,
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)               Noosaville Medical and Professional Centre Pty Ltd
  Contact name (only applicable for companies)                      C/- Tod Consulting – Doug Reynolds
  Postal address (P.O. Box or street address)                       PO Box 61
  Suburb                                                            Noosaville
  State                                                             Qld
  Postcode                                                          4566
  Country                                                           Australia
  Contact number                                                    5449 9600
  Email address (non-mandatory)                                     [email protected]
  Mobile number (non-mandatory)                                     0488383370
  Fax number (non-mandatory)
  Applicant’s reference number(s) (if applicable)                   17548

  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
      No – proceed to 3)