Appendix A - DA Form 1 and Owner's Consent

 Matters requiring referral to the chief executive of the distribution entity or transmission entity:
   Electricity infrastructure
 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 (inconsistent with Brisbane port LUP for transport reasons)
   Strategic port land
 Matters requiring referral to the relevant port operator:
   Land within Port of Brisbane’s port limits (below high-water mark)
 Matters requiring referral to the Chief Executive of the relevant port authority:
   Land within limits of another port (below high-water mark)
 Matters requiring referral to the Gold Coast Waterways Authority:
   Tidal works, or work in a coastal management district in Gold Coast waters
 Matters requiring referral to the Queensland Fire and Emergency Service:
    Tidal works marina (more than six vessel berths)

 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
    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
    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