DA Form 1

PART 6 — INFORMATION REQUEST

 
 

19) Information request under the DA Rules

IC. | agree to receive an information request if determined necessary for this development application

L_] | 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:

e 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

e Part 3 under Chapter 1 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules or

e Part 2under Chapter 2 of the DA Rules will still apply if the application is for state facilitated development

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

 

 

PART 7 — FURTHER DETAILS

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)

C1 Yes — provide details below or include details in a schedule to this development application

BY No
List of approval/development Reference number Date Assessment
application references manager

L] Approval
LJ Development application

LC Approval
CJ Development application

 

 

 

 

 

 

 

 

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

operational work)

 

C1 Yes — a copy of the receipted QLeave form is attached to this development application

LJ No =|, 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

LJ Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
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?

 

LJ Yes — show cause or enforcement notice is attached

LI No

 

 

 

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DA Form 1 — Development application details
Version 1.6— 2 August 2024