14 T000036 - Attachment 11 - Decision Notice (Demolition Permit) (1)

Department of Infrastructure, Local Government and Planning

 

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

J 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. | acknowledge that the assessment manager may give a
development approval only if | 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?

(J 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 developmentis-on a place entered in the Quee eritage register or in a local
government's Local Heritage Register. See the guid provided at

www.ehp.qid. out the
requirements in-refation to the development of eensland heritage place

Name of the hegitage place: Place ID: ee

 
   
 

 

 

 

 

 

 

 

PART 4— REFERRAL DETAILS

12) Does this development application include any building work aspects that have any referral requirements?

LJ Yes - the Referral checklist for building work is attached to this development application
Go — proceed to Part 5

 

 

13) Has any referral agency provided a referral response for this development application?
CL Yes — referral response(s) received and listed below are attached to this development application

LJ No

Referral requirement Referral agency Date referral response

 

 

 

 

 

 

 

Identify and describe any changes made to the proposed development application that was the subject of the referral
response and the development application the subject of this form, or include details in a schedule to this development
application (if applicable)

 

 

 

 

PART 5 — BUILDING WORK DETAILS

U Tick if the applicant is also the owner and proceed to 15). Otherwise, provide the following information.
Name(s) (individual or company full name) SOCES VC

Contact name (applicable for companies) oN \ Ce Ck ; és
Postal address (P.O. Box or street address) ?.c. (4A

Suburb 2 VA

 

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