DA Form 5 - 9 Dwyer St

 

application references manager

 

 

cal Approval 2 4434

(J Development application

(Approval
(J Development application

 

 

 

 

 

 

(Yes —a copy of the receipted QLeave form is attached to this development application

[J No -1, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | provide evidence that the portable long service leave levy has been paid

P| Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
Amount paid Date paid (dd/mm/yy) QlLeave levy number (A, B or E)
$

 

 

 

 

 

(J Yes - show cause or enforcement notice is attached

EINo

 

 

 

(Yes — the required attachment (form ESR/2015/1791) for an application for an environmental authority
accompanies this development application, and details are provided in the table below

EANo

Note: Application for an environmental authority can be found by searching “ESR/2015/1791” as a search term at www.qld.gov.au. An ERA
requires an environmental authority to operate. See www.business.gid.gov.au for further information.

 

Proposed ERA number: Proposed ERA threshold: a
Proposed ERA name:

(] Multiple ERAs are applicable to this development application and the details have been attached in a schedule to
this development application.

 

 

 

 

(1 Yes - Form 69; Notification of a facility exceeding 10% of schedule 15 threshold is attached to this development
application

EANo

Note: See www.business.qid.gov.au for further information abaut hazardous chemical notifications.