DA Form 1 21 Myles St

Walkable neighbourhoods assessment benchmarks under Schedule 12A of the Planning Requlation

nto 2 or more lots in certain residential zones

  

 

a = fale let sate (Lele
{ al Yee? Schedule 12A is applicable to the develormnent application and the assessment benchmarks contained in
schedule 12A have been considered
CI No
Note: See guidance materials at ww. Dianmng.dsiiip. gid.gov.su for further information

PART 8 — CHECKLIST AND APPLICANT DECLARATION

24) Development application checklist

 

 

| | have identified the assessment manager in question 15 and all retevant referral
| requirement(s) in question 17 va) Yes
| Note Soo the Planning Regulation 2017 for referral requiramonts
If building work is associated with the proposed development, Parts 4 to 6 of DA Form2?- (Yes
Building work details have been completed and attached to this development application <7 Not applicable

Supporting information addressing or applicable assessment benchmarks is with the

development application

Note: This is a mandatory mquirement and includes sny retevanl templates under question 23, a pisnning report = [~] Yos
end any technical reports required by Ure relevent celegorising instruments (e.g. local govemiment planning

schemes, State Planning Policy, State Development Assezsment Provisions). For further information, sce DA

Forres. Guide: Panning Report Template tee eee et x ied sate a
Relevant plans of the development are attached to this devolopment application

Note: Relevant plaris are required to be submitted for all aspects of this developmen application. For furor C1 Yes
| infomation, see DA Fottrs Guide. Relevant plans.

 

 

| The portable long service leave levy for QLéave has been paid, or will be paid before a + [1 Yes
development permit is issued (see 27) ” (1) Not applicable

vi By wiaieng this davelooriant application, | declare that ail information in this development application is true and

correct

E71 Where an email addross is provided In Part 1 of this form, | consent to receive future electronic communications
from the assessment manager and any referral agency for the development application where written information
is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001

Note: It is untawful to intentionally provide false or misleading information

Privacy — Personal information collected in this form will be used ‘by the a assessment | manager and/or chosen

assessment manager, any relevant reforral agency and/or building cortifier (including any professional advisers

which may be engaged by those entities) while processing, assessing and deciding the development application.

All information refating to this development application may be available for inspection and purchase, and/or

published on the assessment manager's and/or referral agency's website.

Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning

Regulation 2017 and the DA Rules except where:

* such disclosure is in accordance with the provisions about public access to documents contained In the Planning
Act 2076 and the Planning Regulation 2017, and the access niles made under the Planning Act 2076 and
Planning Regulation 2017; or

* required by other legislation (including the Right to Information Act 2009); or

* otherwise required by law.

This information may be stored in relevant databases, The information collected will be retained as required by the

Public Records Act 2002,

 

   

 

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