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Mitti St Driveway · OPW19/0168
Attached to the e-mail Operational Works Application OPW19/0168 - DA Form 1 - Owners Consent - 3 Mitti St.
23.14) Does this development application involve a material change of use for a brothel?
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) Does this development application involve new or changed access to a state-controlled road?
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
24) Development application checklist
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 – Building work details have been completed and attached to this
development application Not applicable - N/A
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 Yes
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
Note: Relevant plans are required to be submitted for all aspects of this development application. Yes
For further information, see DA Forms Guide: Relevant plans.
The portable long service leave levy for QLeave has been paid, or will be paid Yes
before a development permit is issued (see 21)) Not applicable
25) Applicant declaration
By making this development application, I declare that all information in this development application is
true and correct
Where an email address is provided in Part 1 of this form, I consent to receive future electronic
communications from the assessment manager and any referral agency for the development
application where written information is required or permitted pursuant to sections 11 and 12 of the
Electronic Transactions Act 2001
Note: It is unlawful to intentionally provide false or misleading information.
Page ! 12
DA Form 1 – Development Application details
Version 1.1— 22 JUNE 2018
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