Operational Works Application - OPW21-0012 - 2nd driveway at 33 Hay St Tewantin · OPW21/0012

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      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 - 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.

       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.

      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.


      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


      Applicant name(s) (individual or company full name)

      Contact name (only applicable for companies)

      Postal address (P. 0 Box or street address)              33
      Suburb

      State

      Postcode

      Country
                                                                  /fa-r £
      Contact number

      Email address (non-mandatory)                             j                   - *-i) d A .                                                        7
      Mobile number (non-mandatory)                                       / jrV ^<9
      Fax number (non-mandatory)

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


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      Yes - the written consent of the owner(s) is attached to this development application                                              0°            E—'        IrO
      No - proceed to 3)                                                                                                                  op)          ^       CF L
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      PART 2 - LOCATION DETAILS
                                                                                         Box:                            R:
      3) Location Of the premises (complete 3,1) or 32), and 33) as applicable)


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