DA Form 1

PART 6 – INFORMATION REQUEST
19) Information request under the DA Rules
       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.
•     Part 2 under Chapter 2 of the DA Rules will 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)
      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
      Development application
      Approval
      Development application


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

       Yes – a copy of the receipted QLeave form is attached to this development application
       No – I, the applicant will provide evidence that the portable long service leave levy has been paid before the
       assessment manager decides the development application. I acknowledge that the assessment manager may
       give a development approval only if I provide evidence that the portable long service leave levy has been paid
       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)
$

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?
      Yes – show cause or enforcement notice is attached
      No




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