Development Application Part 1 of 2 - Cover letter IDAS form 1 & 6 Owners consent & Confirmation of Insurance 7 Banksia Avenue Noosa Heads · OPW10/2120

12. Does the proposal include new building work or operational work on the premises? (including any
    services)

q No ® Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted

13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
    end of this form for more information)

® No - Go to question 15                         Yes

                                                                                  QLeave Project Number (6 digit number
Table K                           Amount paid                    Date paid
                                                                                  starting with A, B, E, L or P)

           1


15. Has the local government agreed to apply a superseded planning scheme to this application under
    section 96 of the Sustainable Planning Act 2009?


® No
q    Yes - provide details below


16. List below all of the forms and supporting information that accompany this application (include all IDAS
forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA)

                                                                                                   Method of lodgement to
                                  Description of attachment or title of attachment
                                                                                                    assessment manager

               1   IDAS Form 1                                                                      mail


            2      IDAS Form 6                                                                      mail


            3      Engineering Plans                                                                mail


            4      Owners Consent                                                                   mail


            5      Slope Stability Report                                                           mail


            6      Cover letter                                                                     mail


17. Applicant's declaration


      By making this application, I declare that all information in this application is true and correct (note: it is
      unlawful to provide false or misleading information).




                                                                                              Application Details - IDAS form 1
                                                                                                Version 1.0 18 December 2009