Development application - 14 Grosvenor Tce, Noosa Heads

□ Yes - the following is included with this development application:
    □ Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required
       if application involves prescribed tidal work)
       D A certificate of title
□ No
Note: See guidance materials at www.des.qld.gov.au for further information.




□ Yes - details of the heritage place are provided in the table below
□ No
Note See guidance materials at www.des.qld.Qov.au for information requirements regarding development of Queensland heritage places.

Name of the heritage place:                                                        Place ID:




□ Yes - this development application demonstrates how the proposal meets the code for a development
application for a brothel under Schedule 3 of the Prostitution Regulation 2014
□ No
Decision under section 62 of the Transport Infrastructure Act 1994
23.15)
□ Yes - this application will be taken to be an application for a decision under section 62 of the Transport
Infrastructure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being
satisfied)
□ No




PART 8 - CHECKLIST AND APPLICANT DECLARATION


I have identified the assessment manager in question 15 and all relevant referral
requirement(s) in question 17
                                                                                                                    □ Yes
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the proposed development, Parts 4 to 6 of DA Form 2-                            □ Yes
Building work details have been completed and attached to this development application                              El Not applicable
Supporting information addressing any applicable assessment benchmarks is with
development application
                                                                                                                    □
Note: This is a mandatory requirement and includes any relevant templates under question 23, a planning report          Yes
and any technical reports required by the relevant categorising instruments (e.g. local government planning
schemes, State Planning Policy, State Development Assessment Provisions). For further information, see DA
Forms Guide: Planning Report Template.
Relevant plans of the development are attached to this development application                                      0
Note: Relevant plans are required to be submitted for all aspects of this development application. For further          Yes
information, see DA Forms Guide: Relevant plans.
The portable long service leave levy for QLeave has been paid, or will be paid before a                             □ Yes
development permit is issued (see2i))                                                                               EJ Not applicable




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                                                                                                        DA Form 1 - Development Application details
                                                                                                                       Version 1.1 —22 JUNE 2018