Development Application for permit to damage vegetation - OPW13/0775

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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 1800 803 481 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 200~ 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

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




           QLEAVE NOTIFICATION AND PAYMENT (Forcompletion by assessment
                                                                                                    manager or private certifier if
           applicable.)

                                                                                                         .Date receipted     Name of officer
                                             QLeave project        Amount paid                           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.

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    Department of State Development, Infrastructure and Planning
    PO Box 15009 City East Old 4002
    tel 13 QGOV (1374 68)
    [email protected]!d,goy.au
                                                                                                                 IDI’o5 form 1-Application details
                                                                                                                          Version 3.0-1 July 2013
    www.dsdlp.qld.gov.au

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