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DA Form 1
DA Form 1 — Development application details Approved form (version 1.3 effective 28 September 2020) 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— Buitding 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 tot), 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 portland and Brisbane core portland 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 portland and Brisbane core portiand, 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. a Note; All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, orthe Development Assessment Rules (DA Rules). : : ? PART 1 —-APPLICANT DETAILS HN NoemMaAn CRAMR \O2 KNUTSFOED Ave EWDALE bios” PruSTRALIA O“UN\S Srst jccambo® westnet.com aw Out oS 1s | Queensland Government
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Page 2
PART 2 — LOCATION DETAILS MARY RAVER OAD RPIS2EOB HOVE. CooRey Noosa SHIRE Page2 DA Form 1—Development application details Version 1.3— 28 September 2020
Page 3
EMR site identification: |
0 Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification: |
SNR
O Yes ~ All easement locations, types and dimensions are included in plans submitted with this development
application
No
PART 3 — DEVELOPMENT DETAILS
Section 1 - Aspects of development
ut the development aspect
of development? (tick only one box) ey ees :
O Reconfiguring a lot | Operational work 0 Building work
: he approval type? (tick only one box) ;
Mw Devaloprient permit OO Preliminary approval UO Preliminary approval that includes a variation approval
c) What is the level of assessment? ; :
a Code assessment OO Impact assessment (requires public notification)
qd) rovide ooo the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, pemret a the S
consTRUeT a DEAVEWAY PROVIDING ACCESS TO Loti FROM MARY RIVER ROAD.
fSOFAG bhai vol aap i aalipiracc phot: For utiner Wormoton, deb OA Farn
Relevant plans of the proposed development are attached to the development application
o Material change oki use (O Reconfigure alot 4#oOperational work 0 Building work
_b) What is the approval type? (tick only one box) :
0 Development permit O Preliminary approval C Preliminary approval that includes a variation approval
©) What isthe level of assessment? ee
OO Code assessment OO Impact assessment (requires public notification)
d) Provi ea pret description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of {fot into 3
bots)
0 Additional Seen of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application
af Not required
Page3
DA Form 1—Development application details
Version 1.3— 28 September 2020
Page 4
Section 2 — Further development details
oO
O
Division 1 — Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a
Division 2 —- Reconfiguring a lot ;
i. involves alot.
and what is the intended use of the
Page4
DA Form 1 — Development application details
Version 1.3— 28 September 2020
Page 5
2.2) What is the reason forthe bour Division 3 — Operational work $10,000 (eSsTIMATE PART 4 —- ASSESSMENT MANAGER DETAILS Noosa council. Oo O PART 5 — REFERRAL DETAILS y referral requirements ? Page5 DA Form 4 — Development application details Version 1.3— 28 September 2020
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Koala habitat in SEQ LO Koala habitat in SEQ ion - interfering with koala habitat in koala habitat areas outside koala prio ion — key resource Page6 DA Form 1—Development application details Version 1.3—28 September 2020
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PART.6 — INFORMATION REQUEST PART 7 — FURTHER DETAILS Page7 DA Form 1 —Development application details Version 1.3— 28 September 2020
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Page 8 DA Form 4 —Development application details Version 1.3— 28 September 2020
Page 9
Page DA Form 1—Development application details Version 1.3—28 September 2020
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Page 10 DA Form 1—Development application details Version 1.3— 28 September 2020
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PART 8 — CHECKLIST AND APPLICANT DECLARATION Page 11 DA Form 1 —Development application details Version 1.3—28 September 2020