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Revised DA Form 1

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QLeave notification and payment

Note: For completion by assessment manager 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

 

 

 

 

 

Page 12
DA Form 1 — Development Application details
Version 1.1— 22 JUNE 2018
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