DA Form 1 21 Myles St

PART 7 — FURTHER DETAILS

 

Wes e) Gee hi gia as is)e celts

C1 Yes - ROH details below or include details in a schedule to this development ai application
CI No

List of approval/development ; "Reference number : | Date | Assessment
application references ‘ | manager

0 Development application
L] Approval
(1 Development application

ce leave levy been paid?

 

ry Ye = @ Gopy Of the receipted QLeave form is attached to this development application

(7) No — |, the applicant will provide evidence that the portable long service leave lavy has been paid before the
assassment manager decides the development application. | acknowledge that the assessment manager may
give a Gevelopment approval onty if | provide evidence that the portable long service leave levy has been paid

(0 Not applicable (@.g. building and construction work is Jess than $150,000 exctuding GST)

Amount paid Date paid (dd/mmiyy) | QLeave levy number nber (A, B or rE)

$ ey eC RI LL AI, aM |

 

 

 

 

   

C Yes = the required attachment {form ESR/2015/1791) for an srinlicdaien for an environmental authority
accompanies this development application, and details are provided In the table below
[C] No

Note; Application for an environmental authority can be found by searching “ESR/201S/1797" as 4 search lever at vow gle. goy cra. An ERA
requires an erivircnmental authority to operate Soo ww. business. gid qov.au for further information
Proposed ERA number: ] Proposed ERA threshold: [|
Proposed ERA name:

;O Multipioe ERAS are applicable to this development application and the details have been attached in a schedule to
this development application.

Hazardous chemical facilities

 

    

23.2) ist application for a hazardous chemical facility?
(] Yes ~ Form » 69: Nadtcation of a facility exceeding 10% af schedule 15 threshold is attached to this development
application
iL) No

| Note: Sec iw. hysinnss qld gov au for furthor information about hazardous chemical notifications

 

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