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DA Form 1 OPW Application-2 Peppertree Cl

Attached to the e-mail Operational Works Application OPW21/0048 - 2 Peppertree Cl Marcus Beach.

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PART 9 — FOR COMPLETION OF THE ASSESSMENT MANAGER - FOR OFFICE

USE ONLY

 

Date received: Cd Reference number(s): |

 

Notification of engagement of alternative assessment manager

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 notification and payment
Note: For.completion by assessment manager if applicable

 

 

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 12
DA Form 1 - Development application details
Version 1.3— 28 September 2020
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