Development Application part 1 of 2 IDAS Forms 1, 7 REC13/0094

 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      D    Yes



 13. Has the portable long service leave Ievy been paid? (Refer to notes at the end of this form for more
 information.)

 D      No


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

Table N

Amount paid              Date paid         OLeave project number (6digit number starting with A,     ,
                                                                                                         E, L or P)
                         (dd/mm/yy)




114. Has the local government agreed to pply a     a   superseded planning scheme to this application under section
 96 of the Sustainable Planning Act 2009?


 aiNo
 D      Yes-please provide details below
                                                 ~1~Sbt(~
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


      IPAS roteM i
      It)A-S     t=O~tJ\ I
     s:rre     PLAN
             ITIOI\JA-L-




6                                                                                              IDAS form 1-Application details
                                                                                                Version 2.017 December 2012