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Ccf_000013
Attached to the e-mail Operational Works Application OPW18/0028 - 8 Supplejack Crt Lake Macdonald.
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Department of Infrastructure, Local Government and Planni
PART 9 — FOR OFFICE USE ONLY
Date received: C—i«dzs; 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
Note: For completion by assessment manager if applicable
Description of the work
QLeave project number
Amount paid ($)
Date paid
Date receipted form sighted by assessment manager
Name of officer who sighted the form
The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
Infrastructure, Local Government and Planning. This form and all other required development application materials should
be sent to the assessment manager.
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