Revised DA Form 1

PART 7 — FURTHER DETAILS

 

| (2 Yes — provide details below or include details in a schedule to this development application
| CNo

 

 

 

 

 

| List of approval/development | Reference number Date Assessment

| application references | ) manager
Approval Lisk
(Development application RA, pf. oA I/ 0023 27 Jeren6A. 0.90 PIENAAR

| CJ Approval i ,

| C] Development application

 

 

 

| (J Yes — a copy of the receipted QLeave form is attached to this development application

CI No-1, the applicant will provide evidence that the portable long service ieave levy has been paid before the
i assessment manager decides the development application. | acknowledge that the assessment manager may
| give a development approval only if | provide evidence that the portable long service leave levy has been paid

,O Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
| Amount paid Date paid (dd/mmiyy) QLeave levy number (A, B or E)

 

 

 

 

 

 

 

  

(2 Yes - show cause or enforcement notice is attached

|CNo

 

 

tak ALAe ALAS a leh ce

epee itm aC Acca etka amt do) alts

CJ Yes - the required attachment (form ESR/2015/1781) for an application for an environmental authority

accompanies this development application, and details are provided in the table below
| CINo j
| Note: Appircation for an environmental authority can be found by searching “ESR/2015/1791" 83 @ search term at www cid goy.ay. An ERA |

| requires an environmental authority 10 operate. See www business. oid gov. au for further information. j

| Proposed ERA number: ] _ oo | Proposed ERA threshold: |

| Proposed ERA name: |

| (_] Multiple ERAs are applicable to this development application and the details have been attached in a schedule to

| this development application.

chemical fac

   

 

 

   

 

chemi

Cl ves — Form 69: Nottoeton af 6 Reciay amneatine 10% of schedule 8 Wonahodl i etieched ws tas Govoltarere
application

Ono |

 

 

Page 8
DA Form 1 ~ Development application details
Version 1.3~- 28 September 2020