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10/0627 - Lot Reconfiguration (1 lot into 3) [As Published] · 152010.627
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QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
Date receipted
eg QLeave Project {Amount _, form sighted by|Name of officer who
Description of the work Number paid ($) Date paid assessment __|sighted the form
manager
The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
* agencies.
Application Details - IDAS form 1
Version 1.0 18 December 2009
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