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DA Form 1

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PART 2 – LOCATION DETAILS

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 infor mation, 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
                          161                Cooroy Belli Creek Road                                                     COOROY
a)    Postcode            Lot No.            Plan Type and Number (e.g. RP, SP)                                          Local Government
                                                                                                                         Area(s)
      4563                20                 RP 141938                                                                   Noosa Shire Council
      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     Datum                   Local Government Area(s)
                                                                                     Ref.                             (if applicable)

                                                                                              ☐ WGS84
                                                                                     ☐ 54
                                                                                              ☐ GDA94
                                                                                     ☐ 55
                                                                                     ☐ 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:


                                                                                                                                             Page 2
                                                                                                          DA Form 1 – Development application details
                                                                                                                       Version 1.2— 7 February 2020
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