22SeahorsePlace · OPW18/0054

                                                                                                 t of lnfrastructure, LocaI Government and Plannir


Matters requiring referral to:
. The chief executive of the holder of the licence, if not an iividual
. The holder of the licence, if the holder of the licence is an    Jual
I Oit and gas infrastructure
Matters requiring referral to the Brisbane City Council:
f] Brisbane core port land
Matters requiring referral to the Minister under the Transport lnf structure Act 1 994:
n Brisbane core port land
I  Strategic port land
Matters requiring referral to the relevant port operator:
f] Brisbane core port land (below high-water mark and within port s)
Matters requiring referral to the chief executive of the relevant                              rt authority:
I Land within limits of another port
Matters requiring referral to the Gold Coast Waterways Authori
tr Tidal works, or development in a coastal management district in                            J Coast waters
Matters requiring referral to the Queensland Fire and Emergency                               ervrce:
E Tidal works, or development in a coastal management district

18) Has any referral agency provided a referral response for this development application?
f Yes - referral response(s) received and listed below are attached t this development application
E t'to
Referral requirement                                  Referral agency                                Date of referral response



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



PART 6 - TNFORMATTON REQUEST
19) lnformation request under Part 3 of the DA Rules
ffi I agree to receive an information request if determined necessary                          this development application
n t Oo not agree to accept an information request for this                                     application
Note: By not agreeing to accept an information request l, the applicant, acknowledge:
. that this development application will be assessed and decided based on the                  provided when making this development
  application and the assessment manager and any referral agencies relevant to the o                  application are not obligated under
  the DA Rules to accept any additional information provided by the applicant for the                  application unless agreed to by the
    relevant parties
. Part 3 of the DA Rules will still apply if the application is an application listed under      I 1.3 of the DA Rules.
Further advice about information requests is contained in the DA Forms Guide.




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                                                                                                             Development Application details
                                                                                                                  Version 1.O-3 July 2O17