MCU11/0213 Development Application Part 1 of 2 Application Forms 142/58 Noosa Springs Dve Noosa Heads

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)


                                                                              Date receipted
                                      QLeave Project   Amount                 form sighted by Name of officer who
              Description of the work Number                      Date paid
                                                       paid ($)               assessment      sighted the form
                                                                              manager

        1


The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                     Application Details - IDAS form I
                                                                                       Version 1.0 18 December 2009