IDAS Form 34

                                                                                  Not applicable

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.


OFFICE USE ONLY

 Date received                                        Reference numbers

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                            IDAS form 34—SE Qld Koala Conservation SPRP
                                                                                              Version 3.1—3 August 2015