DA Form 1.pdf

PART 6 – INFORMATION REQUEST

 19) Information request under 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 under Chapter 1 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules or
  •    Part 2under Chapter 2 of the DA Rules will still apply if the application is for state facilitated development
 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
     Development application
     Approval
     Development application

 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?
     Yes – show cause or enforcement notice is attached
     No




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                                                                                                      DA Form 1 – Development application details
                                                                                                                    Version 1.6— 2 August 2024


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PART 6 — INFORMATION REQUEST

 

19) Information request under the DA Rules

XX] | agree to receive an information request if determined necessary for this development application
L] | 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 under Chapter 1 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules or

. Part 2under Chapter 2 of the DA Rules will still apply if the application is for state facilitated development

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)
LJ Yes — provide details below or include details in a schedule to this development application
KX] No

List of approval/development Reference number Date Assessment
application references manager

LJ Approval
LJ Development application

LD Approval
LJ Development application

 

 

 

 

 

 

 

21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or

operational work)

L Yes — a copy of the receipted QLeave form is attached to this development application

LJ No -|, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | provide evidence that the portable long service leave levy has been paid

XX] 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?

 

1 Yes — show cause or enforcement notice is attached

KX] No

 

 

 

Page 8
DA Form 1 — Development application details
Version 1.6— 2 August 2024