DA Form 1 & Plan

 

  
  
  

 

1 Yes — the following is included with this development application:

(1 Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required |
if application involves prescribed tidal work)

CIA certificate of title

No

Note: See guidance materials at www.des.gld.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.gov.au for information requirements regarding development of Queensland heritage places.

Name of the heritage place: Place ID:

 

 

U1 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

 

Decision under section 62 of the Transport Infrastructure Act 1994

 

f ¥§ - 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

 
   

| 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 Not applicable
Oo

 

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
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 a
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 (see 21)) [ANot applicable