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210055 - 327 Kinmond Creek Road, COOTHARABA - DA Form 2 - Building work details - Planning Act 2016 - 7 February 2020

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 Contact name (applicable for         Sarah Pearson
 companies)
 Postal address (P.O. Box or street   82 Enkelmanns Road
 address)
 Suburb                               ALBERTON
 State                                QLD
 Postcode                             4207
 Country                              Australia
 Contact number                       0401 221 130
 Email address (non-mandatory)        [email protected]
 Mobile number (non-mandatory)
 Fax number (non-mandatory)

15) Builder’s details
 ☒ Tick if a builder has not yet been engaged to undertake the work and proceed to 16). Otherwise provide the
following information.
Name(s) (individual or company full
name)
Contact name (applicable for
companies)
QBCC licence or owner –
builder number
Postal address (P.O. Box or street
address)
Suburb
State                                 QLD
Postcode
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)

 16) Provide details about the proposed building work
 What type of approval is being sought?
 ☒ Development permit
 ☐ Preliminary approval
 b) What is the level of assessment?
 ☒ Code assessment
 ☐ Impact assessment (requires public notification)
 c) Nature of the proposed building work (tick all applicable boxes)
 ☒ New building or structure                                                ☐ Repairs, alterations or additions
 ☐ Change of building classification (involving building work)              ☐ Swimming pool and/or pool fence
 ☐ Demolition                                                               ☐ Relocation or removal
 d) Provide a description of the work below or in an attached schedule.
 Dwelling, garage, carport and plunge pool
 e) Proposed construction materials
 External walls                       ☐ Double brick              ☐ Steel                        ☐ Curtain glass

                                                                                                                        Page 4
                                                                                               DA Form 2 – Building work details
                                                                                                 Version 1.2— 7 February 2020
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