DA Form 1 and Email with Photo and drawing - 9 Pines Ave, Lake Cooroibah

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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 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
        H 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
                                                                                 Y' (         5                _____                         < *§■ A H
          a)
                   Postcode      Lot No.          Plan Type and Number (e.g. RP, SP)                          Local Government Area(s)


                   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
        O 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:



                                                                                                                                                   Page 2
                                                                                                                DA Form 1 - Development application details
                                                                                                                          Version 1.3-— 28 September 2020
Document Set ID: 22589826
Version: 1, Version Date: 20/09/2023