Attachment 12- Amended DA Form 1

     No
 Referral requirement                                                    Referral agency                        Date of referral response



 Identify and describe any changes made to the proposed development application that was the subject of the
 referral response and this development application, or include details in a schedule to this development application
 (if applicable).




PART 6 – INFORMATION REQUEST

 19) Information request under Part 3 of the DA Rules
     I agree to receive an information request if determined necessary for this development application
     I do not agree to accept an information request for this development application
 Note: By not agreeing to accept an information request I, the applicant, acknowledge:
      that this development application will be assessed and decided based on the information provided when making this development
       application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA
       Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant
       parties
      Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
 Further advice about information requests is contained in the DA Forms Guide.




PART 7 – FURTHER DETAILS

 20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
     Yes – provide details below or include details in a schedule to this development application
     No
 List of approval/development             Reference number                       Date                                  Assessment
 application references                                                                                                manager
     Approval                                                                    Decided by the Planning               Noosa Shire
     Development application              RAL18/0023                             and Environment Court on 6            Council
                                                                                 March 2020
     Approval                                                                    Decided by the Planning               Noosa Shire
     Development application              132002.220285                          and Environment Courts on             Council
                                                                                 12 May 2004

 21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
      operational work)
     Yes – a copy of the receipted QLeave form is attached to this development application
     No – I, the applicant will provide evidence that the portable long service leave levy has been paid before the
     assessment manager decides the development application. I acknowledge that the assessment manager may
     give a development approval only if I provide evidence that the portable long service leave levy has been paid
     Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
 Amount paid                            Date paid (dd/mm/yy)                            QLeave levy number (A, B or E)
 $

 22) Is this development application in response to a show cause notice or required as a result of an enforcement
 notice?



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                                                                                                     DA Form 1 – Development application details
                                                                                                              Version 1.3— 28 September 2020