Development Application for permit to damage vegetation - OPW13/0769

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               Question 12
                  The portable long service leave levy need not be paid when the application is made, but the Building and
                  Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
                  permit is issued.
                  Building and construction industry notification and payment forms are available from any Queensland post office or
                  agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For
                  further information contact QLeave on 1800803481 or visit www.qleave.qld.gov.au.



               Privacy-The information collected in this form will be used by the Department of State Development, Infrastructure
               and Planning (DSDIP),assessment manager, referral agency and/or building certifier in accordance with the
               processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
               the IDAS process or the provisions about public access to planning and development information in the Sustainable
               Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
               Parliament. This information may be stored in relevant databases. The information collected will be retained as
               required by the Public Records Act 2002.


               OFFICE USE ONLY

                Date received                                            I Reference numbers
               NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER


                To
                                                                         I   Council. I have been engaged as the private certifier for the
                                                                             building work referred to in this application

                                                                                            BSA Certification license          Building
                Date of engagement        Name
                                                                                            number                             classification/s




               QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
               applicable.)
                                                                                                             Date receipted
                                                                                                                                 Name of officer
                                                 QLeave project          Amount paia                         form sighted by
                Description of the work                                                        Date paid                         who sighted the
                                                 number                  ($)                                 assessment
                                                                                                                                 form
                                                                                                             manager




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




          Department of State Development, Infrastructure and Planning
          PO Box 15009 City East Old 4002
          tel 13 OGOV (1374 68)
          [email protected]                                                                                       IDAS form r..-Applicmion ttet~ljh~
                                                                                                                              Version 3.0.1 ,h;iy 201.3
          www.dsdlp.qld.gov.au

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