Revised Owners Consent - 26 The Promontory (002)

     PART 9 – FOR COMPLETION OF THE ASSESSMENT MANAGER – FOR OFFICE
     USE ONLY

       Date received:                                   Reference number(s):


       Notification of engagement of alternative assessment manager
       Prescribed assessment manager
       Name of chosen assessment manager

       Date chosen assessment manager engaged
       Contact number of chosen assessment manager
       Relevant licence number(s) of chosen assessment
       manager


       QLeave notification and payment
       Note: For completion by assessment manager if applicable

       Description of the work
       QLeave project number
       Amount paid ($)                                                 Date paid (dd/mm/yy)
       Date receipted form sighted by assessment manager

       Name of officer who sighted the form




                                                                                                                                Page !15
                                                                                              DA Form 1 – Development application details
                                                                                                        Version 1.3— 28 September 2020
Document Set ID: 21714761
Version: 1, Version Date: 29/11/2021