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DA Form 1 - 49 Mossman Court Noosa Heads · OPW18/0125

Attached to the e-mail Operational Works Application 1 of 2 OPW18/0125 - 49 Mossman Court, Noosa Heads.

of 11

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Department of Infrastructure, Local Government and Planning

PART 9 — FOR OFFICE USE ONLY

Date received: [sd Reference number(s): | |

Notification of engagement of alternative assessment manager
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

 

 

 

 

 

 

 

 

 

 

QLeave notification and payment
Note: For completion by as: ent manager if applicable

Description of the work
QLeave project number

Amount paid ($)

Date paid

Date receipted form sighted by assessment manager
Name of officer who sighted the form

   
   

 

 

 

 

 

 

 

 

 

The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
Infrastructure, Local Government and Planning. This form and all other required development application materials should
be sent to the assessment manager.

Page 11
DA Form 1 — Development Application details
Version 1.0—3 July 2017

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