180373 - DA Form 1 · OPW18/0304

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
                           95                Hollett Road                                               Noosaville
   a)
           Postcode        Lot No.           Plan Type and Number (e.g. RP, SP)                         Local Government Area(s)
           4566            1                 SP176590                                                   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. Only one set of coordinates is required for this part.

 ☐ 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 their details have been attached in a
 schedule to this 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:                                                         Not applicable

 ☐ On strategic port land under the Transport Infrastructure Act 1994
 Lot on plan description of strategic port land:                                                     Not applicable
 Name of port authority for the lot:

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                                                                                                         DA Form 1 – Development Application details
                                                                                                                       Version 1.1— 22 JUNE 2018