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DA Form 1 - 75 Williams St

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 Yes - I acknowledge that a quarry material allocation notice must be obtained prior to commencing development
 No
 Note: Contact the Department of Environment and Science at www.des.qld.gov.au for further information.
Referable dams
23.11) Does this development application involve a referable dam required to be failure impact assessed under
section 343 of the Water Supply (Safety and Reliability) Act 2008 (the Water Supply Act)?
    Yes - the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water Supply
   Act is attached to this development application
 No
Note: See guidance materials at www.dnrme.qld.gov.au for further information.
Tidal work or development within a coastal management district
23.12) Does this development application involve tidal work or development in a coastal management district?
Yes - the following is included with this development application:
               Evidence the proposal meets the code for assessable development that is prescribed tidal work (only
            required if application involves prescribed tidal work)
              A certificate of title
 No /
Note: See guidance matehals at www.des.qld.gov.au for further information.
Queensland and local heritage places
23.13) Does this development application propose development on or adjoining a place entered in the Queensland
heritage register or on a place entered in a local government’s Local Heritage Register?
Yes - details of the heritage place are provided in the table below
 No
Note: See guidance materials at www.des.qld.gov.au for information requirements regarding development of Queensland heritage places.
Name of the heritage
                                                            Place ID:
place:
Brothels
23.14) Does this development application involve a material change of use for a brothel?
    Yes - this development application demonstrates how the proposal meets the code for a development application
   fora^brothel under Schedule 3 of the Prostitution Regulation 2014
 No


           Does this development application involve new or changed access to a state-controlled road?
     Yes - this application will be taken to be an application for a decision under section 62 of the Transport
    Infrastructure Act 1994 (subject to the conditions in section 75 of the Transport Infrastructure Act 1994 being

 No saT
PART 8 - CHECKLIST AND APPLICANT DECLARATION

24) Development application checklist
I have identified the assessment manager in question 15
and all relevant referral requirement(s) in question 17                         Yes
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the proposed
development, Parts 4 to 6 of DA Form 2 - Building work                          Yes
details have been completed and attached to this                                Not applicable
development application
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