SOLPSM01_2JR02826-SOL_PRN_KINGS_GoLine_0463_001 · OPW20/0236

Department of Infrastructure, Local Government and Plann

 

 

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 a CMGI ele mime] ey 6
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