Changes Form - 1/100 Rene St Noosaville - 132007.1841.7

DA Form 1 – Development application details
Approved form (version 1.0 effective 3 July 2017) made under section 282 of the Planning Act 2016.

This form must be used to make a development application involving code assessment or impact assessment,
except when applying for development involving building work.
For a development application involving building work only, use DA Form 2 – Building work details.
For a development application involving building work associated with any other type of assessable development,
use this form (DA Form 1) and parts 4 to 6 of DA Form 2 – Building work details.
Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.
One or more additional pages may be attached as a schedule to this development application if there is insufficient space
on the form to include all the necessary information.

 This form and any other form relevant to the development application must be used to make a development application
 relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994, and airport land
 under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a development
 application relating to strategic port land and Brisbane core port land, any reference to a planning scheme is taken to
 mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core port land, or a land use
 plan for airport land.
Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
      Assessment Rules (DA Rules).


PART 7 – FURTHER DETAILS
  20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
      Yes – 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
      Approval
      Development application
      Approval
      Development application

  21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or
  operational work)
     Yes – the yellow local government/private certifier’s copy of the receipted QLeave form is attached to this
   development application
     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
   development 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)
  $

  22) Is this development application in response to a show cause notice or required as a result of an enforcement notice?
      Yes – show cause or enforcement notice is attached
      No



  23) Further legislative requirements
  Environmentally relevant activities
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