09/1682 - Multiple Housing Type 1 - Relative [As Published] · 132009.1682

   

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INTEGRATED PLANNING ACT 1997

  
   

fents and supporting inforniation (Conptete Table!
Please ensure all documentation submitted with this form, including ¢

 

 

 

- Description of attachment or information - SG epoe i
Table | n | Title (if appicable) Method of delivery to
{eg Pesaro pans dtwines meat (09 Genera huthorty, ames Steet Trafic Repory | . Date assessment manager
1. Port D oy mo | By HAR
DAI A Se Pap titre CALLE \Oag00es
SADA | Puan ELErs £ SECTIONS ogo 2008

 

 

 

 

 

 

 

 
 
    

Abie Long Service Leave (PLSL) levy (Appicable tr ct i) -

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (“box if appicable)
LD the application seeks a preliminary approval only; :

L the application is not for building and construction work under the Building and Construction industry (Portable Long Service Leave)

. Act 1991, section 3AA (e.g. the application is only for a change of usé, or for the following types of work carried out solely for farming purposes: .
land cléaring, site préparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or

controlling weeds or pests); 4 OY ‘ ? : ren - *

Call costs; that relate'to the work-both directly and indirect are less than $80,000, inclusive of GST: or

LD the work is being cared out under an owner-builder-permit issued uncer the Queensland Building Services Authority Act 1991 -
Complete and submi! a QLeave Notifcation and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be sighted by the
assessment manager befor a development ‘permit can be given. . an

11. Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)
[2] No-éndorpata >  WY¥es.~ Answer 012 betoiv , . ,

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. : . . ne we - : ° . . vr ek
(No ~ (NOTE: An application can be lodged prior to payment of the applicable PLSL levy. However, the levy must be paid and the receipted form sighted by the
Assessment Manager before a development permit may be given for this application. To pay the levy you will need to complete and submit a Notification
and Payment Forin to QLeave.) .

     

12, Has the PLSL levy been'paid? fe

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, oO Yes - Complete Table L and submit, with the application, the “yellow” (Local Government's (Council) / Private Certifier’s) copy of the receipted QLeave Form.

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

 

 

 

 

 

 

 

 

 

 

oye : . . I: QlLeave Project Number
“Table . Amount paid ‘ - Date paid Moo, {6 digits, starting with A, 8, E, Lo P)
7 1 , ' : / . wo
‘. * + . > +F t .
a woo v4 a
woo : et
ne "OFFICE USE ONLY (Far tise by the Assessment Manager / Private’ Certifier} (Option) moO : ge ,
Be" ) aivedl (, / 2h ir Receiving: — Reference | | , ° Do
‘ Fee($)} lobi¢ _| Pate received ( [ize 7) | officers narne PS Reve numbers | COR liege ee
. Lk * NOTIFICATION OF ENGAGEMENT OF PRIVATE CEAAIFIER “oy
To: : Council. ! have been engaged as the private certifiér for the building work referred to in this application.
-Date of engagement : / . Does Name -. : . BSA Certification license number . Buitding classification/s
: i
ne _ QLEAVE NOTIFICATION AND PAYMENT (or completion by assessment manager or private certifier if applicable) *
oe ~ TT |. 3. a) Datereseptediom ——— :
‘Déscription of the work | QLeave Project Number Amos) paid Datepaid: sighted by = *'|— -Nanie of officer who sighted the'form a
Tt : __ : : _- assessment manager _| . : : : A
‘Privacy Statement . . Lon
“| The information collected on Form 1 will be used by the Department of Infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
Your personal details will not be disclosed for @ purpose outside of the IDAS process, except where required by legislation (including the Freedom of Information Act 1992) or

», _ | 88 equired by Partiament. This information may be stored in @ DIP database. The information collected will be retained as required by the Public Records Act 2002. 4

 

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