132006.823.7 Development Application part 1 of 2 Request to Change Approval form, idas forms A & form 2 5 Morwong Dr Noosa Heads

P,,TEGRATED PLANNING ACT 1997                                                                                                                             Part



          oie5Se enSurg                               r,Foil ,       'Or)

            [            Desenpkon             Tao   ter cr information                                                                                              on of delivery to
                                                                                                  Title (ifa hcahla)
                            Part C of Forr,                      re cif res0urce
                                                                                         Genera Arrtfron?y. Jams Street Ttv/r"tc Rehr?;                       assessment manager
            1._....... (e.5. arAocafir-'




10. The Portable Long r orvlce Leave Levy (PLSL) is not ap..i:, mble to this application if T j of the fv o,Ang apply:
    El 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 3M (e.g. the application is only for a change of use, or for the following types of work carried out solely for forming purposes:
          land clearing, site preparation; earthworks, fences, fodder harvesting clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or
          controlling woods or pests);
      q all costs; that relate a the work both directly and indirectly, are less than ,J0,000, inclusive of GS
      E] the o: k is heir; car s ,,d out under an owner-builder                         mit issued under the Queensland Build n,7                      ces Authority A,:, 1991 -


11. Is pa;merrt cf ra P1-61- levy applicable' it                     a      !,ation? (Refer to cliff and the Advice below for more information,
      0;\o                                           El Yes

12. Has the PLSL levy been paid?
      I Y.7 Na - {NOTE: An application can be lodged zviarto payment ofthe eppl1 cable PLSL levy, However, thetee                              and the race/sled term stphte
                  Assessment Manager before a development permit may be given for this application. To Day the                                  en               nd f'rbnrrt a Noftbr af.'o i
                  an?' Payment Poem to QLear ,.)




                                   For use by the Assessment Manager/Private Certifier) (Optiona
                                        r               s                    Receiving
                                          Date received
                                                                            officer's name

                                                         NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

                                                                         Council. I have been engaged as the private certifier for the building w                 led to in his applicn5on.

  Date of engagement                                                                                                          BSA Cert rfcation license eumeer          uilding classilicgtrrmra
                               S



                               EAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or pr;iv.                                    certifier i`applicable)

                                                                                                                        Date receipted form
      Descrtpkon of the work                  1 Ql.eave Protect Number                                                      sighted by             Narrro of o cer wH       igl ^ted the `error
                                                                                                                       assessment manacer i




` The information collected on Form I witi be used by the Department of lntrastructr:re x x." Planning (DIP) in accordance with the orocer sit g and assessment of v r r Appiic -troy
  Y;rrr personal details will not be disclosed for a pjupose outside of the IDAS process. except Where recurred by legislation finch ding fire Freedom, o          bon Act 1992; or
  as required by Parliament, This information may be stored r^ a DIP database. The infcmmatron coitected will be rstaiaed as required by the Public Peccro `.c          01




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