Operational Works Application OPW22/0237 - DA Form 1 & Plans -7 Riverbreeze Ave Noosa Heads

development application
Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report  Yes
and any technical reports required by the relevant categorising instruments (e g. local government planning
schemes, State Planning Policy, State Development Assessment Provisions). For further information, see DA Forms
Guide: Planning Report Template.
Relevant plans of the development are attached to this development application
Note: Relevant plans are required to be submitted for all aspects of this development application. For further   Yes
information, see DA Forms Guide: Relevant plans.
The portable long service leave levy for QLeave has been paid, or will be paid before a                          Yes
development permit is issued (see 21)                                                                            Not applicable




By making this development application, I declare that all information in this development application is true and
    correct
Where an email address is provided in Part 1 of this form, I consent to receive future electronic communications from
    the assessment manager and any referral agency for the development application where written information is
    required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
Note: It is unlawful to intentionally provide false or misleading infomration.
Privacy - Personal information collected in this form will be used by the assessment manager and/or chosen
assessment manager, any relevant referral agency and/or building certifier (including any professional advisers which
may be engaged by those entities) while processing, assessing and deciding the development application.
All information relating to this development application may be available for inspection and purchase, and/or published
on the assessment manager's and/or referral agency’s website.
Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation 2017
and the DA Rules except where:
• such disclosure is in accordance with the provisions about public access to documents contained in the Planning Act
     2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and Planning
     Regulation 2017; or
• required by other legislation (including the Right to Information Act 2009)', or
• otherwise required by law.
This information may be stored in relevant databases. The information collected will be retained as required by the
Public Records Act 2002.


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

Date receivedReference number(s):




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




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