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DA form 1 for 7 Arakoon Cres · MCU18/0048

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Department of infrastructure, Local Government and Planning

 

 

{ . Form 1 — Development application details
Approved form (version 1.0 effective 3 July 2017) made under section 282 of the Planning Act 2016.

This form must be used to make a development application involving code assessment or impact assessment,
except when applying for development involving building work.
For a development application involving building work only, use DA Form 2— Building work deiails.

For a development application involving building work associated with any other type of assessable development,
use this form (DA Form 1) and parts 4 to 6 of DA Form 2- Building work details.

Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.

One or more additional pages may be attached as a schedule to this development application if there is insufficient space
on the form to include all the necessary information.

 

 

 

Note: Ali terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 201 7, or the Development
Assessment Rules (DA Rules).

PART 1 — APPLICANT DETAILS

   
   

1) Applicant details
Applicant name(s) (individual or company full name)

 

C & AMcGuinness C/- Suncoast Building Approvals

 

 

 

 

 

 

 

Contact name (only applicable for companies) 7 Zane Russell
Postal address (P.0. Box or street address) PO Box 1054
Suburb MAROOCHYDORE
State : ~ | QLD

Postcode 4558

Country AUSTRALIA
Contact number i 07 5443 7288

 

Email address (non-mandatory) [email protected]

Mobile number {non-mandatory}
Fax number (non-mandatory)
Applicant's reference number(s) (if applicable) SBA 18-0387

 

 

 

 

 

  
 

  

Pe) aes consent
2.1) Is written consent of the owner required for this development application?

XX] Yes — the written consent of the owner(s) is attached to this development application
LI No ~ proceed to 3)

 

 

 

s

SIGNED

Pant Name CoR! WE Mee (pap VEX §

Date: OG O21 E

OWMNLRS CONSE

  

Pep Queensland

Government

 
 
   
Full text of the other 10 pages

Page 2

Department of Infrastructure, Local Government and Planning

FORT 2—-LOCATION DETAILS

3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA Forms

Guide: Relevant plans.
3.1) Street address and lot on plan

 

 

 

 

 

 

 

 

XX] Street address AND lot on plan (aii fots must be listed), or
C Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water
but adjoining or adjacent to land e.g. jetty, pontoon, ail lots must be listed)
Unit No Street No. | Street Name and Type Suburb
7 Arakoon Crescent Sunshine Beach
a) Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
780 RP48111 Noosa Council
Unit No. | Street No. | Street Name and Type Suburb
b) Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)

 

 

 

 

 

 

  

3.2) Coordinates of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land e.g
channel dredging in Moreton Bay)

Ly CMa eeRe aed eres in a separate row. Only one set of coordinates is required for this part.

(] Coordinates of premises by longitude and latitude

    
    

 

 

 

 

 

 

 

 

 

 

__Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
i C1 wese4
C1 ebda94
CL] Other:
| L] Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
[154 C1 wese4
ms) [1 GDA94
| L156 1 Other:

 

 

3.3) Additional premise:

L] Additional premises are relevant to this development application and their details have been attached in a schedule
to this application

Not required

 

 

4) Identify any of the following that apply to the premises and provide any relevant details
[1 in or adjacent to a water body or watercourse or in or above an aquifer
Name of water body, watercourse or aquifer: |
C1 On strategic port land under the Transport Infrastructure Act 1994
Lot on plan description of strategic port land:

Name of port authority for the lot:

(ina tidal area

Name of local government for the tidal area (if applicable):

Name of port authority for tidal area (if applicable):

C10n airport land under the Airport Assets (Restructuring and Disposal) Act 2008
Name of airport: |
CJ Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2
DA Form 1 — Development Application details
Version 1.0-—3 July 2017

Page 3

Department of Infrastructure, Local Government and Planning

 

 

Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification:

 

 

 

bo) WM UK) Ee existing easements over the premises?

Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and how

they may affect wig proposed development, see DA Forms Guide.

Yes — All easement locations, types and dimensions are included in plans submitted with this development

 

application

 

 

[No

 

PART 3 — DEVELOPMENT DETAILS

Section 1 — Aspects of development
6,1.) Provide details about the first development.aspec!

    

a) What is the type of development? (tick only one box)

 

XX] Material change of use CJ Reconfiguring a lot LJ Operational work C1 Building work
b) What is the approval type? (tick only one box)
XX] Development permit L Preliminary approval ] Preliminary approval that includes

a variation approval

 

c) What is the level of assessment?
XX] Code assessment CJ tmpact assessment (requires public notification)

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

New Dwelling + f# PCL

e) Relevant plans

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

XX] Relevant plans of the proposed development are attached to the development application
6.2)
a) What is the type of development? (tick only one box)

 

 

    

Provide details about the second development aspec|

 

 

L Material change of use [7 Reconfiguring a lot (] Operational work O Building work

b) What is the approval type? (tick only ane box)

LJ Development permit LJ Preliminary approval Preliminary approval that inciudes a variation
approval

 

c) What is the level of assessment?
L] Code assessment L] impact assessment (requires public notification)
d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as mult-unit dwelling, reconfiguration of 7 lot into 3 lots)

 

 

e) 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.

L] Relevant plans of the proposed development are attached to the development application

 
 

0-3) Additional Sa of develo: eens

L Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application
I Not required

 

 

 

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DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 4

Department of Infrastructure, Local Government and Planning

 

£ tion 2 — Further development details
7) Does the proposed development application involve any of the following?

Material change of use IX] Yes — complete division 1 if assessable against a local planning instrument

    
 

  
     
 
 

Reconfiguring a lot 1] Yes ~ complete division 2
Operational work LJ Yes — complete division 3
Building work L] Yes — complete DA Form 2 — Building work details

 

Division 1 — Material change of use
Note: This division is only required to be completed if any part of the development application involves a material change of use assessable against a local
planning instrument.

| 8.1) Describe fal proposed eee change of use

 

 

Provide a general description of the Provide the planning scheme definition | Number of dwelling | Gross floor
proposed use (include each definition in a new row) units (if applicable) area (m*)

{if applicable)
Dwelling House Dwelling House 1

 

 

 

 

 

  

8.2) Pea reece use involve the use of existing buildings on the enieeers
L1 Yes
XX] No

 

 

 

 

Division 2 — Reconfiguring a lot
Note: This division is only required to be completed if any part of the development application involves reconfiguring a lot.

aca D Aare acm tat—m Co)c]) igo existing lots making up the premises/

    

 

9.2) What is the nature of the lot reconfiguration? (tick all applicable boxes)
LJ Subdivision (complete 10)) LJ Dividing land into parts by agreement (complete 11)

(1 Boundary realignment (complete 12)) LJ Creating or changing an easement giving access to a lot from
a construction road (complete 13))

 

 

   
 

  
   
     

10) Subdivision
10.1) For this development, how many lots are being

Intended use of lots created Residential

created and what is the intended use of those lots:
Commercial Industrial Other, please specify:

 
   

   

      

 

 
 
  

 

Number of lots created | |
10.2) Will the subdivision be staged?

C1 Yes — provide additional details below
L1 No

How many stages will the works include?

What stage(s) will this development application
apply to?

 

 

 

 

 

11) Dividing land into parts by agreement — how many parts are being created and what is the intended use of the
eine

Intended use of parts created | Residential Commercial Industrial Other, please specify:

 

 

 

 

 

 

 

 

 

Number of parts created

 

Page 4
DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 5

Department of Infrastructure, Local Government and Planning

 

Boundary realignment
12.1) What are the current and proposed areas for each lot comprising the premises?

 

Current lot Proposed lot
Lot on plan description Area (m*) Lot on plan description Area (m*)

 

 

 

 

 

 

 

 

12.2) What is the reason for the boundary realignment?

 

13) What are the dimensions and nature of any existing easements being changed and/or any proposed easement?
(attach schedule if there are more than two easements)

Existing or Width (m) | Length (m) | Purpose of the easement? (e.g. Identify the land/ot(s)
proposed? pedestrian access) benefitted by the easement

 

 

 

 

 

 

 

 

 

 

Division 3 — Operational work
Note: This division is only required to be completed if any part of the development application involves operational work.

14,1) What is the nature of the operational work?

 

(7 Road work (_] Stormwater (] Water infrastructure
7] Drainage work CL Earthworks CL Sewage infrastructure
(Landscaping LO Signage L] Clearing vegetation

 

(1 Other — please specify: |

 

   
 

 
  
  

14.2) Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)
CJ Yes - specify number of new lots:

LNo

14.3) What is the monetary value of the proposed operational work? (include GST, materials and labour)

i$
PART 4 —- ASSESSMENT MANAGER DETAILS

   
  

 

 

 

     
 

15) Identify the assessment manager(s) who will be assessing this development application

16) Has the local government agreed to apply a superseded planning scheme for this development application?

L] Yes — a copy of the decision notice is attached to this development application

( Local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

| EX] No
PART 5 — REFERRAL DETAILS

  
 

  
      
 

 

17) Do any aspects of the proposed development require referral for any referral requirements?
Note: A development application will require referral if prescribed by the Planning Regulation 2017.

[X] No, there are no referral requirements relevant to any development aspects identified in this development
application — proceed to Part 6

Matters requiring referral to the chief executive of the Planning Regulation 2017:

(1 Clearing native vegetation
(Contaminated land (unexploded ordnance)

 

 

 

 

 

Page 5
DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 6

Department of Infrastructure, Local Government and Planning

 

“” Environmenially reievant activities (ERA) (only if the ERA have not been devolved to a local govemment)

\_] Fisheries —- aquaculture

(C1 Fisheries — declared fish habitat area

(J Fisheries — marine plants

(J Fisheries — waterway barrier works

(J Hazardous chemical facilities

J Queensland heritage place (on or near a Queensland heritage place)

J infrastructure — designated premises

(J infrastructure — state transport infrastructure

(J Infrastructure — state transport corridors and future state transport corridors

| (_] Infrastructure — state-controlled transport tunnels and future state-controlled transport tunnels

(J infrastructure — state-controlled roads

| [] Land within Port of Brisbane's port limits

J SEQ development area

(J SEQ regional landscape and rural production area or SEQ Rural living area — community activity
(J SEQ regional landscape and rural production area or SEQ Rural living area — indoor recreation
C1 SEQ regional landscape and rural production area or SEQ Rural living area — residential development
LJ SEQ regional landscape and rural production area or SEQ Rural living area — urban activity

{J Tidal works or works in a coastal management district

] Urban design

(1 Water-related development — taking or interfering with water

( Water-related development — removing quarry material (from a watercourse or lake)

LJ Water-related development — referable dams

(J Water-related development — construction of new levees or modification of existing levees (category 2 or 3 levees only)
J Wetland protection area

Matters requiring referral to the local government:

(1 Airport land

(J Environmentally relevant activities (ERA) (only if the ERA have been devoived to local government)

L] Local heritage places

Matters requiring referral to the chief executive of the distribution entity or transmission entity:
(J Electricity infrastructure

Matters requiring referral to:

e The chief executive of the holder of the licence, if not an individual
e The holder of the licerice, if the holder of the licence is an individual
(J Oil and gas infrastructure

Matters requiring referral to the Brisbane City Council:

L] Brisbane core port land

Matters requiring referral to the Minister under the Transport Infrastructure Act 1994:
LJ Brisbane core port land

( Strategic port land

Matters requiring referral to the relevant port operator:

C1 Brisbane core port land (below high-water mark and within port limits)

 

 

 

 

 

 

 

Matters requiring referral to the chief executive of the relevant port authority:
C Land within limits of another port

Matters requiring referral to the Gold Coast Waterways Authority:
L] Tidal works, or development in a coastal management district in Gold Coast waters

 

 

Matters requiring referral to the Queensland Fire and Emergency Service:
(J Tidal works, or development in a coastal management district

 

 

 

Page 6
DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 7

Department of Infrastructure, Local Government and Planning

 

Wee Pa ee agency provided A referral response for this development application?
C1 Yes — referral response(s) received and listed below are attached to this development application
LI No

Referral requirement Referral agency Date of 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 6 — INFORMATION REQUEST

19) Information request under Part 3 of the DA Rules

 

X] | agree to receive an information request if determined necessary for this development application

[I do not agree to accept an information request for this development application

Note: By not agreeing to accept an information request I, the applicant, acknowledge:

* that this development application will be assessed and decided based on the information provided when making this development application and
the assessment manager and any referral agencies relevant to the development application are not obligated under the DA Rules to accept any
additional information provided by the applicant for the development application unless agreed to by the relevant parties

¢ Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.

Further advice about information requests is contained in the DA Forms Guide.

PART 7 — FURTHER DETAILS

 

YAO) oem aital—1 cm-l Nace tsssseler t= (= 19} Seance applications or current approvals? RMU ah UMMeIe e) Doe)
(J Yes — provide details below or include details in a schedule to this development application

No

List of approval/development Reference number Date Assessment manager
application references

C Approval

1] Development application

LC Approval
LJ Development application

 

 

 

 

 

 

 

 

[i 3
21) Has the portable long service leave levy been paid? (only applicable to development applications involving building work or

 

‘operationat work)

C1 Yes — the yellow local government/private certifier's copy of the receipted QLeave form is attached to this
development application

(1) No —1, 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

XX] Not applicable
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)

$

 

 

 

 

 

 

 

22) Is this development application in response to a show cause notice or required as a result of an enforcement notice?
(1 Yes — show cause or enforcement notice is attached

XX] No

 

 

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DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 8

Department of infrastructure, Local Government and Planning

 

Further legislative requirements
Environmentally relevant act 5)

23,1) Is this development application also taken to be an application for an environmental authority for an
Environmentally Relevant Activity (ERA) under section 115 of the Environmental Protection Act 1994?

 

(1 Yes — the required attachment (form EM941) for an application for an environmental authority accompanies this
development application, and details are provided in the table below

XX] No

Note: Application for an environmental authority can be found by searching “EM941” at www.gid.gov au. An ERA requires an environmental authority
to operate. See www business. oid.gov ay for further information.

Proposed ERA number. Proposed ERA threshold:
Proposed ERA name:

oO Multiple ERAs are applicable to this development application and the details have been attached in a schedule
to this development application.

 

 

 

 

   
 

or a hazardous chemical facility?
LI Yes — Form 69: Notification of a facility exceeding 10% of schedule 15 threshald is attached to this development
application
No
Note: See www justice.gid gov.au for further information.

 

 

Clearing ative vegetation

~ 23,3) Does this development application involve clearing native vegetation that requires written confirmation the chief
| executive of the Vegetation Management Act 1999 is satisfied the clearing is for a relevant purpose under section 22A
_of the Vegetation Management Act 1999?

, LJ Yes — this development application is accompanied by written confirmation from the chief executive of the
Vegetation Management Act 1999 (s22A determination)

No
Note: See www.aid gov. au for further information.
WAT codeVantevah el med Listes cy

23.4) Is this development application taken to be a prescribed activity that may have a significant residual impact on a
prescribed environmental matter under the Environmental Offsets Act 2014?

LJ Yes — | acknowledge that an environmental offset must be provided for any prescribed activity assessed as having a
significant residual impact on a prescribed environmental matter

KX] No

Note: The environmental offset section of the Queensland Government's website can be accessed at www.qld.gov.au for further information on
environmental offsets.

Koala conservation
23.5) Does this development application involve a material change of use, reconfiguring a lot or operational work within
an assessable development area under Schedule 10, Part 10 of the Planning Regulation 2017?

LI Yes
No
Note: See guidance materials at www.ehp.gid.gov.au for further information.

Water resources

23.6) Does this development application involve taking or interfering with artesian or sub artesian water, taking or
interfering with water in a watercourse, lake or spring, taking overland flow water or waterway barrier works?

(1 Yes — the relevant template is completed and attached to this development application
No
Note DA templates are available from www.dilgp. gid gov.au.

23.7) Does this application involve taking or interfering with artesian or sub artesian water, taking or interfering
with water in a watercourse, lake or spring, or taking overland flow water under the Water Act 2000?

| LI Yes - | acknowledge that a relevant water authorisation under the Water Act 2000 may be required prior to

 

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DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 9

Department of Infrastructure, Local Government and Planning

 

 

Fr mmencing development me

| XJ No
Note. Contact the Department of Natural Resources and Mines at www.dnrm.gid.gov.au for further information.
Marine activities
23.8) Does this development application involve aquaculture, works within a declared fish habitat area or removal,
disturbance or destruction of marine plants?
CL] Yes — an associated resource allocation authority is attached to this development application, if required under the
Fisheries Act 1994
XI No
Note: See guidance materials at www.daf.gld.gov.au for further information.
Quarry materials from a watercourse or lake

23.9) Does this development application involve the removal of quarry materials from a watercourse or lake under
the Water Act 2000?

C1 Yes —} acknowledge that a quarry material allocation notice must be obtained prior to commencing development

XX] No

Note: Contact the Department of Natural Resources and Mines at www.dnrm.gid.gov.au for further information.
Quarry materials from land under tidal waters

23.10) Does this development application involve the removal of quarry materials from land under tidal water under
the Coastal Protection and Management Act 1995?

C1 Yes — 1 acknowledge that a quarry material allocation notice must be obtained prior to commencing development
No
Note: Contact the Department of Environment and Heritage Protection at www_efp.gid.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)?

C1 Yes — the ‘Notice Accepting a Failure Impact Assessment’ from the chief executive administering the Water Supply
Act is attached to this development application

KX] No

Note: See guidance materials at www.dews.afd.gov.au for further information

MaCrLA Lt atele development within a coastal management district
23.12) Does this development application involve tidal work or development in a coastal management district?

C1 Yes -~ the following is included with this development application:

(J Evidence the proposal meets the code for assessable development that is prescribed tidal work (only required if
application involves prescribed tidal work)

LIA certificate of title
No
Note: See guidance materials at yeww.ehp.gid.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?

(1 Yes - details of the heritage place are provided in the table below
No
Note: See guidance materials at www.ehp.gid.gov.au for information requirements regarding development of Queensland heritage places.

Name of the heritage place: Place ID:
Brothels

 

      

 

 
 
  

   

 

 

   
 
 

 

  

23.14) Does this development application involve a material change of use for a brothel?

L] Yes — this development application demonstrates how the proposal meets the code for a development application
for a brothel under Schedule 3 of the Prostitution Regulation 2014

XX] No

 

 

 

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DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 10

Department of Infrastructure, Local Government and Planning

 

“Went eee Pied mre ate eles Infrastructure Act 1994

  

23.15) 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 satisfied)

I No
PART 8 — CHECKLIST AND APPLICANT DECLARATION

 

 

Meanie ooleniimereee

 

| have identified the assessment manager in question 15 and all relevant referral

 

requirement(s) in question 17 KX] Yes
Note: See the Planning Regulation 2017 for referral requirements
If building work is associated with the proposed development, Parts 4 to 6 of Form 2~— LI Yes

Building work details have been completed and attached to this development application Not applicable

 

Supporting information addressing any applicable assessment benchmarks is with
development application

Note. This is a mandatory requirement and includes any relevant templates under question 23, a planning report xX Yes
and any technical reports required by the relevant categorising instruments (e.g. local government planning

schemes, State Planning Policy, State Development Assessment Provisions). For further information, see DA

Forms Guide: Plannin Template

Relevant plans of the development are attached to this development application

Note: Relevant plans are required to be submitted for all aspects of this develapment application. For further Xl Yes

information, see DA Forms Guide: Relevant plans.

The portable long service leave levy for QLeave has been paid, or will be paid before a Yes
development permit is issued (see 21) EX] Not applicable

 

 

 

Ws Ral yen Selec

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

correct

[X] Where an email address 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 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 relevant 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

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

s 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.

 

 

 

 

 

Page 10
DA Form 1 — Development Application details
Version 1.0—3 July 2017

Page 11

Department of Infrastructure, Local Government and Planning

 

(RT 9 — FOR OFFICE USE ONLY

 

Date received: (t—~SYS Reference number(s): |

 

Notification of engagement of alternative assessment manage

Prescribed assessment manager

 

Name of chosen assessment manager

 

Date chosen assessment manager engaged

 

Contact number of chosen assessment manager

 

Relevant licence number(s) of chosen assessment
manager

 

 

 

 

eon payment

  

| Note: For completion-by-as ne nager if applicable
Description of the work

 

 

QLeave project number

 

Amount paid ($)

 

Date paid

 

Date receipted form sighted by assessment manager

 

 

Name of officer who sighted the form

 

 

 

The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
infrastructure, Local Government and Planning. This form and all other required development application materials should

be sent to the assessment manager.

Page 11
DA Form 1 — Development Application details
Version 1.0—3 July 2017

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