DA form 1 for 7 Arakoon Cres · MCU18/0048

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