Request for a Pre-Application Meeting

(Version 3.0 effective 14 December 2015)

BEFORE REQUESTING A PRE-APPLICATION MEETING

·  Please check that you have read and completed all sections of this form.

·  Further information about the PDA development assessment process is available at http://www.statedevelopment.qld.gov.au/assessment-of-priority-development-areas/infrastructure-and-planning/development-applications/assessment-of-priority-development-areas.html

·  To lodge:

o  Hand deliver one (1) unbound hard copy and one (1) electronic copy to the EDQ Development Assessment Team located at 63 George Street, Brisbane (please note hand deliveries can only be made with a prior appointment with your PDA Assessment Manager); or

o  Post one (1) unbound hard copy and one (1) electronic copy to the EDQ Development Assessment Team at PO Box 15009 City East QLD 4002.

·  For general queries contact the EDQ Development Assessment Team at .

1. PROPERTY DESCRIPTION

Identify all lots, including any part of a lot on which the development is proposed.

Priority Development Area
Street Address (i.e. unit / street number, street name, suburb / town and post code)
Lot on Plan Description (e.g. Lot 3 on RP123456)
Description of Proposal

2. PRE-APPLICATION MEETING

Please provide a suitable time and date for a pre-application meeting.

Preferred meeting time and date
Alternative meeting time and date

3. APPLICANT DETAILS

Please provide the following details:

Individual Name
Company / Organisation
Contact Name
Postal Address
Daytime Telephone Number
Mobile Telephone Number
Email Address

4. APPROVAL HISTORY

The applicant/owner consents to receiving documents that are required or permitted to be provided under the Economic Development Act 2012 or any other statute, in an electronic format. / Yes
No
Is there any development approval, granted under the Integrated Planning Act 1997, the Urban Land Development Authority Act 2007, the Sustainable Planning Act 2009, or the Economic Development Act 2012 still in effect for the land? / Yes
No

5. ATTACHMENTS

To support the request for a pre-application meeting please attach plans, drawings, and/or reports. As a minimum, a scaled A3 plan detailing the proposed development must be attached.

Description / Date

6. PRIVACY STATEMENT

Information collected is also subject to the Right to Information Act 2009 and the Information Privacy Act 2009.The information provided may be publicly released and or provided to third parties and other government agencies—but only for the purposes for which the information is being collected.The proponent's personal information will be stored on departmental files and may be disclosed for purposes relating to the processing and assessment of the application or as authorised or required by law.

7. APPLICANT’S DECLARATION

The applicant warrants that the information provided to the PDA Development Assessment Team in relation to this pre application is true and correct.

By making this application, I declare that all information in this application is true and correct to the best of my knowledge.

______

Signature of Applicant/Authorised Person Print Name and Position

______

Date