Operational Works Application - OPW21-0012 - 2nd driveway at 33 Hay St Tewantin · OPW21/0012

      Yes - details of the heritage place are provided in the table below
      No
      Note: See guidance materials at mw.'.des ald.aov.au for information requirements regarding development of Queensland heritage places.




      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 thi           m      insoort 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




      Yes - Schedule 12A is applicable to the development application and the assessment benchmarks contained in
      schedule 12A have been considered
      No
      Note See guidance materials at www.oiannina.dsdmiD.ald.aov.au for further information.



      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                           Not applicable
      Supporting information addressing any applicable assessment benchmarks is with the
      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
      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 forQLeave has been paid, or will be paid before a                           Yes
      development permit is issued (see 21)                                                                            Not applicable




      By making this development application, I declare       ill information in this development application is true and
         correct
      Where an email address is provided in Part 1 ofthis 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.
      Privacy - Personal information collected in this form will be used by the assessment manager and/or chosen
      assessment manager, any relevant referral agency and/or building certifier (including any professional advisers which
      may be engaged by those entities) while processing, assessing and deciding the development application.
      All information relating to this development application may be available for inspection and purchase, and/or published
      on the assessment manager’s and/or referral agency's website.
      Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation 2017
      and the DA Rules except where:
      • such disclosure is in accordance with the provisions about public access to documents contained in the Planning Act
           2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and Planning
           Regulation 2017; or


https://dsdmipprd.blob.coreAvindovvs.net/generai/DAFQrm1-Developmentappiicationdetails.docx                                                   7/1/21, 1:29 pm
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