Operational Works Application OPW24/0021 - DA Form 1 & Pics - 45 Lawnville Rd, Cooroy

 •     The Chief Executive of the holder of the licence, if not an individual
 •     The holder of the licence, if the holder of the licence is an individual
     Infrastructure-related referrals - Oil and gas infrastructure
Matters requiring referral to the Brisbane City Council:
□ Ports - Brisbane core port land_______________________________
Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994:
□ Ports — Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons)
□ Ports - Strategic port land
Matters requiring referral to the relevant port operator, if applicant is not port operator:
□ Ports - Land within Port of Brisbane’s port limits (below high-water mark)
Matters requiring referral to the Chief Executive of the relevant port authority:
□ Ports - Land within limits of another port (below high-water mark)
Matters requiring referral to the Gold Coast Waterways Authority:
□ Tidal works or work in a coastal management district (in Gold Coast waters)
Matters requiring referral to the Queensland Fire and Emergency Service:
□ Tidal works or work in a coastal management district (involving a marina (more than six vessel berths))



 □ Yes - referral response(s) received and listed below are attached to this development application
 EJ 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 this development application, or include details in a schedule to this development application
 (if applicable).




PART 6 - INFORMATION REQUEST


 [3 I 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


 □ Yes - provide details below or include details in a schedule to this development application
 □ No______________
 List of approval/development                 Reference number                         Date                                     Assessment
 application references                                                                                                         manager
 □ Approval


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                                                                                                            DA Form 1 - Development application details
                                                                                                                      Version 1.4— 15 December 2023