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

                                                                                                  Department of Infrastructure, Local Government and Planning

18) Has any referral agency provided a referral response for this development appllcalion?
DYes          - referral response(s) received and listed below are attached to this development application
ONo
Referral requirement                                           Referral agency                                       Date of referral response




Identify and describe any changes made to the proposed development application that was the subject of the referral
response and the development application the subject of this form, or include details in a schedule to this development
application (if applicable).




PART 6 -INFORMATION                                  REQUEST


     I agree to receive an information request if determined necessary for this development application
o I do not agree to accept an information request for this development application
Note: By not agreeing   to accept   an information   request   I, the applicant,   acknowledge:
    that this development  application wilf be assessed and decided based on the information provided when making this development application and
    the assessment manager and any referral agencies relevant to the development application are not obligated under the DA Rules to accept any
    additional information provided by the applicant for the development application unless agreed to by the relevant parties
  Part 3 of the DA Rules will still apply if the application is an appfication listed under section 11.3 of the DA Rules.
Further advice about information requests is contained in the DA founs GU;de.



PART 7 - FURTHER DETAILS


o        s - provide details below or include details in a schedule to this development application
     No
List of approval/development                   Reference number                               Date                                   Assessment manager
application references

o Approval
o Development application
o Approval
o Development application
71) HAs. thp portable long service leave levy been pOId? (on/y ~PlJfll .•dblf;;! to ur;w/up",ent                 app/lcatfons   inVOlVing bw/dmg   work or
operational     work)

DYes - the yellow local government/private certifier's copy of the receipted QLeave form is attached to this
development application
o  No - I, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. I acknowledge that the assessment manager may give a
~opment        approval only if I provide evidence that the portable long service leave levy has been paid
     Not applicable
Amount paid                                 Date paid (dd/mm/yy)                                      QLeave levy number (A, B or E)
$



o 'j€s - show cause or enforcement notice is attached
[;2(No


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                                                                                                                    DA Form 1 - Development Application details
                                                                                                                                      Version1.()-3 July 2017