DAForm1-Developmentapplicationdetails (202573 SS)

3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA
Forms Guide: Relevant plans.
3.1) Street address and lot on plan
☒ Street address AND lot on plan (all lots must be listed), or
☐ Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
    water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
         Unit No.        Street No.          Street Name and Type                                      Suburb
                         111                 Lake Weyba Drive                                          Noosaville
 a)
         Postcode        Lot No.             Plan Type and Number (e.g. RP, SP)                        Local Government Area(s)
         4566            4                   RP36729                                                   Noosa Shire
         Unit No.        Street No.          Street Name and Type                                      Suburb

 b)
         Postcode        Lot No.             Plan Type and Number (e.g. RP, SP)                        Local Government Area(s)


3.2) Coordinates of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land
     e.g. channel dredging in Moreton Bay)
Note: Place each set of coordinates in a separate row.
☐ Coordinates of premises by longitude and latitude
Longitude(s)                      Latitude(s)                        Datum                         Local Government Area(s) (if applicable)
                                                                     ☐ WGS84
                                                                     ☐ GDA94
                                                                     ☐ Other:
☐ Coordinates of premises by easting and northing
Easting(s)               Northing(s)                Zone Ref.        Datum                         Local Government Area(s) (if applicable)
                                                    ☐ 54             ☐ WGS84
                                                    ☐ 55             ☐ GDA94
                                                    ☐ 56             ☐ Other:
3.3) Additional premises
☐ Additional premises are relevant to this development application and the details of these premises have been
  attached in a schedule to this development application
☒ Not required

4) Identify any of the following that apply to the premises and provide any relevant details
☐ In or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer:
☐ On strategic port land under the Transport Infrastructure Act 1994
Lot on plan description of strategic port land:
Name of port authority for the lot:
☐ In a tidal area
Name of local government for the tidal area (if applicable):
Name of port authority for tidal area (if applicable):
☐ On airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport:
☐ Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification:
☐ Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994



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                                                                                                        DA Form 1 – Development application details
                                                                                                                 Version 1.3— 28 September 2020