Operational Works Application OPW18/0075 - DA Form1 and Plan -3 The Anchorage, Noosaville

                                                                                      Department of Infrastructure, Local Government and Planning


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23 15) Does this development           application Involve new or changed access to a state-controlled                 road?
DYes - this application will be taken to be an application for a decision under section 62 of the Transport
It1fI;1structure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being satisfied)
[2f 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                                                                                        ~es
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the proposed development, Parts 4 to 6 of Form 2-                                DYes
Building work details have been completed and attached to this development application                               0"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       ITYes
and any technical reports required by the relevant categorising instruments (e.g. local government planning
schemes, State Planning Po/icy, State Development Assessment Provisions). For further information, see Qd
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       ~es
information, see DA Forms Guide' Relevant plans
The portable long service leave levy for QLeave has been paid, or will be paid before a                              DYes
development permit is issued (see 21))                                                                               0Not      applicable




    By making this development application, I declare that all information in this development application is true and
coyect
IZI 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.
Privacy - Personal information collected in this form will be used by the assessment manager andlor chosen
assessment manager, any relevant referral agency andlor 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, andlor published
on the assessment manager's andlor 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
• 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.




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                                                                                                           DA Form 1 - Development Application details
                                                                                                                             Version 1.0-3 JulY 2017