Development Application part 1 of 2 Cover Letter & IDAS Forms REC13/0060

    12. Is the payment of a portable long service leave, levy applicable to this application? (Refer to notes at the end
    of this form for more, information.)


    ~     No-go to question 14             DYes

    1,3. Has the portable long service leave levy been paid? (Refer to notes at the end ofth s form for more
    information.)


    ~    No


    D    Yes-complete Table N and submit with this application the yellow local government/private certifier’s copy of the
         receipted QLeave form

Table N

Amount paid                Date paid         QLeave project number (6 digit number starting with A, B, E, Lor P)

                           (dd/mm/yy)




    14. Has the local government agreed to apply a superseded planning scheme to this application under’section
9,6 of the Sustainable Ptanning Act 20091


~        No


D        Yes-please provide details below


Name of local government                            Date of written notice given    Reference number of written notice given
                                                    by local government             by local government (if applicable)
                                                    (dd/mm/yy)




    15. list below all of the forms and supporting information that accompany this application (Include alllDAS
    forms, checklists, mandatory supporting information etc. that will be submitted as part of this application, Note;.this                                         ~
    question does not apply for applications made’ online’ using Smart eDA)

Description of attachment or title of attachment                                             Method of lodgement to
                                                                                             assessment manager

IDAS Form 7                                                                                  Mail


Planning report including proposal plan (Ref: 13-3366AA)                                     Mail




16. Applicant’s declaration


~ By making this application, I declare that all information in this application is true and correct (Note:it is unlawful to
provide false or misleading information.)




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