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Rabtuvi Pty Ltd - IDAS Forms · OPW13/0451
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 L] Yes 13. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more information.) [] No 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, L or P) (dd/mm/yy) 14. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of the Sustainable Planning Act 2009? HY No [_] 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 all IDAS 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 IDM Faaenn 23 MAILE CONSTRUCTION PLANS # ENGINEERS CEETIF Ie TR MALL Ceer OF TITLE = =4 Gonuranw Exeter Mai MSQ CON CUeZENCE Camm ets MAIL OWNELS CONSENT Lom tH. 16. Applicant's declaration ™M By making this application, | declare that all information in this application is true and correct (Note: it is unlawful to provide false or misleading information.) 6 IDAS form 1—Application details Version 2.0 17 December 2012
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