DA Form 5 - 9 Dwyer St

(1 Yes —| acknowledge that a quarry material allocation notice must be obtained prior to commencing development

[Al No
Note: Contact the Department of Natural Resources, Mines and Energy at www.dnrme.qid.gov.au and www.business.gid.gov.au for further
information.

(1 Yes — | acknowledge that a quarry material allocation notice must be obtained prior to commencing development
No

Note: Contact the Department of Environment and Science at www.des.gid.gov.au for further information.

(J Yes - the ‘Notice Accepting a Failure impact Assessment’ from the chief executive administering the Water
Supply Act is attached to this development application

Kil No

Note: See guidance materials at www.dnrme.gid.gov.au for further information.

(-] Yes — the following is included with this development application:

[) Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
if application involves prescribed tidal work)

{1} A certificate of title
[No
Note: See guidance materials at www.des.qid.gov.au for further information.

(J Yes — details of the heritage place are provided in the table below
No
lote: See guidance materials at www.des.qid.gov.au for information requirements regarding development of Queensiand heritage places.

 

Name of the heritage place: Place ID:

(J Yes — this development application demonstrates how the proposal meets the code for a development
application for a brothel under Schedule 3 of the Prostitution Regulation 2014

No
Decision under section 62 of the Transport Infrastructure Act 1994
23.15)

(J Yes - this application will be taken to be an application for a decision under section 62 of the Transport
Infrastructure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being
satisfied)

N] No