DA Form 1 - Operational Works Application

PART 6 — INFORMATION REQUEST

19) Information request under the DA Rules
[4 | agree to receive an information request if determined necessary for this development application

D1 tdo not agree to accept an information request for this development application

Note: By not agreeing to accept an information request |, 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 fo 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.¢ a preliminary approva
OyYes - 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
LD Development application

DD Approval
[ Development application

 

 

 

 

 

 

 

21) Has the portable long service leave levy been paid? (only <

EM LoL)

 

(0 Yes — a copy of the receipted QLeave form is attached to this development application
(No -1, 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
ive a development approval only if | 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