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

      • required by other legislation (including the Right to Information Act 2009); or
      • otherwise required by law.
      This information may be stored in relevant databases. The information collected will be retained as required by the
      Public Records Act 2002.




      PART 9 - FOR COMPLETION OF THE ASSESSMENT MANAGER - FOR OFFICE
      USE ONLY


       Date receivedReference number(s):




      Prescribed assessment manager
      Name of chosen assessment manager

      Date chosen assessment manager engaged

      Contact number of chosen assessment manager
      Relevant licence number(s) of chosen assessment
      manager




      Description of the work

      QLeave project number
      Amount paid ($)                                        Date paid (dd/mm/yy)
      Date receipted form sighted by assessment manager

      Name of officer who sighted the form




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