Operational Works Application OPW20/0148- 20 Mermaid Quay, Noosaville

                                                                                   Department of Infrastructure, Local Government and Planning




DA Form 1 - Development application details
Approved form (version 1.0 effective 3 July 2017) 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 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,
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.




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
 1) Applicant details
 Applicant name(s) (individual or company full name)                                    ^                          HeBg-mqs.
 Contact name (only applicable for companies)

 Postal address (P.O. Box or street address)
 Suburb
 State
 Postcode                                                                 TO>b
 Country
 Contact number
 Email address (non-mandatory)                                           ~ir><£e c i np^od foicypood . oo m
 Mobile number (non-mandatory)
 Fax number (non-mandatory)
 Applicant’s reference number(s) (if applicable)

 2) Owner’s consent
 2.1) Is written consent of the owner required for this development application?
     Yes - the written consent of the owner(s) is attached to this development application
 0!No - proceed to 3)




                                                                                                                       f§|# Queensland
                                                                                                                       Bt Government