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DA Form 2 - Building Work

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     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
                       1073                 Pomona Kin Kin Road                                  Kin Kin
 Postcode              Lot No.              Plan Type and Number (e.g. RP, SP)                   Local Government Area(s)
 4571                  2                    RP196994                                             Noosa Shire Council
 2.2) 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


 3) Are there any existing easements over the premises?
 Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and how
 they may affect the proposed development, see the DA Forms Guide
     Yes – All easement locations, types and dimensions are included in plans submitted with this development
           application
     No


PART 3 – FURTHER DETAILS
 4) Is the application only for building work assessable against the building assessment provisions?
     Yes – proceed to 8)
     No

 5) Identify the assessment manager(s) who will be assessing this development application
 Noosa Shire Council

 6) Has the local government agreed to apply a superseded planning scheme for this development application?
     Yes – a copy of the decision notice is attached to this development application
     The local government is taken to have agreed to the superseded planning scheme request – relevant documents
 attached
     No

 7) Information request under Part 3 of the DA Rules
     I agree to receive an information request if determined necessary for this development application
     I do not agree to accept an information request for this development application
 Note: By not agreeing to accept an information request I, the applicant, acknowledge:
 •    that this development application will be assessed and decided based on the information provided when making this development
     application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA
     Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant parties.
 •   Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
 Further advice about information requests is contained in the DA Forms Guide.


 8) Are there any associated development applications or current approvals?
     Yes – provide details below or include details in a schedule to this development application
     No
 List of approval/development                 Reference                                   Date                            Assessment
 application                                                                                                              manager
     Approval
     Development application



                                                                                                                                          Page 2
                                                                                                       DA Form 2 – Development Application details
                                                                                                                     Version 1.1— 22 JUNE 2018
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