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09/0464 - MCU - Detached House [As Published] · 132009.464
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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
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Portable: Long. Service. ‘Leave {PLS); levy: ‘Applicable for certain building: and ‘constiliction work valued over $80,000.oniy) jee Pet vy
10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: { Tick box if applicable}
[_] the application seeks a preliminary approval only;
[-] the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
Leave) Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
regrowth, thinning vegetation or controlling weeds or pests);
{_} all costs, that relate to the work both directly and indirectly, are fess than $80,000, inclusive of GST; or
[7 the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
Complete and submit a QLeave Notification and Payment Form (no payment required if owner-buiider permil number slated). The receipted form must be
sighted by the assessment manager before a development permit can be given,
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11. Is payment ofa PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?
[ ] No -EndofPata:
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(x) Yes - - Answer Q12 below
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12, Has the PLSL Tey been paid?
xl No - - (NOTE: An application can be lodged prior to payment of the applicable PLSL levy. Howaver, the levy must be paid and tha receipted form sighted by
oe the Assessment Manager before a development permit may be given for this application. To pay the levy you will need to complete and submit a
_ Notification and d Payment Form to QLeava.)
f} Yes - = Complet Tato J and subnil, with the epplicauon, the “yallow” (Local Government's (Council) / Private Certifiar’s} copy of the receipied QLeave Form
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OFFICE USE ONLY (For tise by the Assessment Manager / Private Certifier) (Optional)
Fee ($) x6 “A, K\ A
Reference
numbers
Receiving officer's
Date received name
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Bist satas : . HAAS SRO aes ary Src tf *EaS
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Privacy Statement
The information cofected on Form t well be used by the Department of infrastructure and Planning (DIP) in accordance with the processing and sesessment of your Application.
Your personel detai’s will not be disclosed for a purpose outside of the IDAS process, excapt where required by legistation {including the Freedom of Information Act 1992) or as
required by Parliament. This information may be stored is in a DIP database. The information collacted will be retamed as required by the Public Records Act 2002.
Advice for completing Part A
General advice
° Part A of [DAS Development Application Form 1 must be completed and accompany ail development applications.. the applicant is responsible
for answering all questions fully and correctly, unless following a response there is a statement to go directly fo another question, The
Assessment Manger may refuse to receive an application that is not properly made,
e The IDAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the
Building Act 1975 only, i.e. those appears requiring the completion of Parts A and B only.
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