Operational Works Application OPW19/0181 - 31 Sunset Dr, Noosa Heads

PART 8- CHECKLIST AND APPLICANT DECLARATION

 24) Development application checklist
 I have identified the assessment manager in question 15 and all relevant referral
 requirement(s) in question 17                                                                                       Li Yes
 Note: See the Planning Regulation 2017 for referral requirements
 If building work is associated with the proposed development, Parts 4 to 6 of DA Form 2 —LI Yes
 Building work details have been completed and attached to this development application   LI Not applicable
 Supporting information addressing any applicable assessment benchmarks is with
 development application
 Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report          Yes
 and any technical reports required by the relevant categorising instruments (e.g. local government planning
 schemes, State Planning Policy, State Development Assessment Provisions). For further information, see


 Relevant plans of the development are attached to this development application
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further      LI Yes
 information, see                                 :.
 The portable long service leave levy for QLeave has been paid, or will be paid before a                             LI Yes
 development permit is issued (see 21))                                                                              LI Not applicable


 25) Applicant declaration
    By making this development application, I declare that all information in this development application is true and
 corct
 Ai Where an email address is provided in Part 1 of this form, I consent to receive future electronic communications
 from the assessment manager and any referral agency for the development application where written information is
 required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
 Note: It is unlawful to intentionally provide false or misleading information.
 Privacy — Personal information collected in this form will be used by the assessment manager and/or chosen
 assessment manager, any relevant referral agency and/or building certifier (including any professional advisers
 which may be engaged by those entities) while processing, assessing and deciding the development application.
 All information relating to this development application may be available for inspection and purchase, and/or
 published on the assessment manager's and/or referral agency's website.
 Personal information will not be disclosed fora purpose unrelated to the Planning Act 2016, Planning Regulation 2017
 and the DA Rules except where:
 • such disclosure is in accordance with the provisions about public access to documents contained in the Planning
      Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and Planning
      Regulation 2017; or
 • required by other legislation (including the Right to Information Act 2009); or
 • otherwise required by law.
 This information may be stored in relevant databases. The information collected will be retained as required by the
 Public Records Act 2002.


PART 9- FOR OFFICE USE ONLY

 Date received:                                        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




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