Operational Works Application OPW26/0086 - DA Form 1, Standard drawing, xover drawing, Photo images - 125 Cooroy Belli Creek Rd, Cooroy

PART 6 - INFORMATION REQUEST

 19) Information request under the DA Rules
0 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
 glNo_______________
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)
s-
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
S.No




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