DA Form 1, Plans, Form 15, Council Breach Letter · OPW22/0076

PART 9 — FOR COMPLETION OF THE ASSESSMENT MANAGER — FOR OFFICE

USE ONLY

 

Date received: bel a 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

 

Relevant licence number(s) of chosen assessment
manager

 

QLeave notification and payment

eit) 9} <1 e)n Me) arek Sue)

Description of the work

 

 

QLeave project number

 

Amount paid ($)

Date paid (dd/mm/yy)

 

Date receipted form sighted by assessment manager

 

 

Name of officer who sighted the form

 

 

 

Page 12
DA Form 1 — Development application details
Version 1.3— 28 September 2020