Development Application for Permit to Damage Vegetation IDAS Forms 1 & 6 - OPW12/0567

DDD

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                               Date paid
                                         Number           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 1
                                                                                           Version 1.0 18 December 2009