DA for 56 main st

Department of Infrastructure, Local Government and Plan

DA Form 1 — Development application details
Approved form (version 1.0 effective 3 July 2017) made under section282 of the Planning Act 2016.

This form mustbe 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, useDA Form 2 — Building work details.

For a development application involvingbuilding work associated with any other type of assessable
development,usethis form (DA Form 1)and parts 4to 6 of DAForm 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

Applicant name(s) (individual or company full name)

Contact name (only applicable for companies)

Postal address/P.0. Box or street address)
Suburb

State

Postcode

Country

Contact number

Email address (non-mandatory)

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?

 

 

[a Yes —the written consent of the owner(s) is attached to this development application
(_] No = proceed to 3)

 

 

 

Queensla
Governme