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

Department of Infrastructure, Local Government and Planning

 

f) Existing building use/classification? (if applicable)

Class qGB-

g) New building use/classification? (if applicable)

Class 4@.
h) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.
LC] Relevant plans of the proposed works are attached to the development application

 

 

 

 

 

 

 

17) What is the monetary value of the eines lem elelilelile mola cca $ SS jOQD', OO ]

 

      

EEE MOISE laleM medias) Warranty Scheme Insurance been paid?
(] Yes — provide details below

LNo
| Amount paid Date paid (dd/mm/yy) Reference number
$

  
 

 

 

 

 

 

 

PART 6 — CHECKLIST AND APPLICANT DECLARATION

Developme applicatio S)
The relevant parts of Form 2— Building work details have been com pleted (Yes

This development application includes a material change of use, reconfiguring a lot or Yes
operational work and is accompanied by a completed Form 1 — Development CN licabl
application details ot applicable

Relevant plans of the development are attached to this development application
Note: Relevant plans are required to be submitted for all aspects of this development application. For further O Yes
information, see DA Forms Guide: Relevant plans.

The portable long service leave levy for QLeave has been paid, or will be paid beforea [] Yes
| development permit is issued CJ Not applicable

 

 

 

 

 

     

  
  

20) Applicant declaration

[Mf By making this development a

correct

1 Where an email address is provided in Part 4 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: /t is unlawful to intentionally provide false or misleading information.

Privacy — Personal information collected in this form will be used by the assessment Manager and/or chosen

assessment manager, any referral agency and/or building certifier (including any professional advisers which may be

engaged by those entities) while Processing, assessing and deciding the development application.

All information relating 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 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 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.

pplication, | declare that all information in this development application is true and

 

 

 

Page 5
DA Form 2- Development Application details
Version 1.0—3 July 2017