180093 - DA Form 2

8) Are there any associated development applications or current approvals?

☑ Yes – provide details below or include details in a schedule to this development application
☐ No
List of approval/development       Reference                       Date                              Assessment manager
application
                                                                                                     Noosa Shire Council
☑ Approval
                                   Change to TPC 2021              17/03/1988
☐ Development application
☐ Approval
☐ Development application


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

☑ 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)


10) 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

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

☐ 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?

☐ Yes – referral response(s) received and listed below are attached to this development application
☑ No
Referral requirement                         Referral agency                            Date referral response



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                                                                                       DA Form 2 – Development Application details
                                                                                                         Version 1.0—3 July 2017