Council archive · source document
DA Form 1 · MCU26/0010
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 13
DA Form 1 – Development application details
Version 1.6— 2 August 2024
[OCR of page images]
Relevant licence number(s) of chosen assessment manager
Description of the work
QLeave project number
Amount paid (S)
Date paid (dd/mm/yy)
Date receipted form sighted by assessment manager
Name of officer who sighted the form
Page 13
DA Form 1 — Development application details
Version 1.6— 2 August 2024
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