Form1

Matters requiring referral to:
• The chief executive of the holder of the licence, if not an individual
• The holder of the licence, if the holder of the licence is an individual
  Oil and gas infrastructure
Matters requiring referral to the Brisbane City Council:
  Brisbane core port land
Matters requiring referral to the Minister under the Transport Infrastructure Act 1994:
  Brisbane core port land
  Strategic port land
Matters requiring referral to the relevant port operator:
  Brisbane core port land (below high-water mark and within port limits)
Matters requiring referral to the chief executive of the relevant port authority:
  Land within limits of another port
Matters requiring referral to the Gold Coast Waterways Authority:
  Tidal works, or development in a coastal management district in Gold Coast waters
Matters requiring referral to the Queensland Fire and Emergency Service:
   Tidal works, or development in a coastal management district


18) Has any referral agency provided a referral response for this development application?
   Yes – referral response(s) received and listed below are attached to this development application
X 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 the development application the subject of this form, 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
X 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.




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                                                                                                      DA Form 1 – Development Application details
                                                                                                                    Version 1.1— 22 JUNE 2018