FOrm 2 - updated - 53 Rene Street

 

9) Has the portable long service leave levy been paid?

(1 Yes — a copy of the receipted QLeave form is attached to this development application

(11 No - |, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | provide evidence that the portable long service leave levy has been paid

(_] Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)
$

 

 

 

 

 

10) Is this development application in response to a show cause notice or required as a result of an enforcement

notice?
(J Yes — show cause or enforcement notice is attached

[] No

 

 

11) Identify any of the following further legislative requirements that apply to any aspect of this development

 

application

(J The proposed development is on a place entered in the Queensland Heritage Register or in a local
government's Local Heritage Register. See the guidance provided at www.des.qld.gov.au about the
requirements in relation to the development of a Queensland heritage place

 

 

 

 

 

Name of the heritage place: Place ID:

 

 

PART 4 — REFERRAL DETAILS

 

12) Does this. development application include any building work.aspects that have any referral requirements?

(J Yes — the Referral checklist for building work is attached to this development application
No ~ proceed to Part 5

 

  

13) Has any referral agency provided a referral response for this development application?

(1 Yes - referral response(s) received and listed below are attached to this development application
No

Referral requirement Referral agency Date referral response

 

 

 

 

 

 

 

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

 

 

 

 

PART 5 — BUILDING WORK DETAILS

[4 Tick if the applicant is also the owner and proceed to 15). Otherwise, provide the following information.

Name(s) (individual or company full name)
Contact name (applicable for companies)
Postal address (P.O. Box or street address)
Suburb

State

 

» Page3
DA Form 2 - Building work details
Version 1.2— 7 February 2020