Development Application Part 1 of 2 - Cover Letter - IDAS Forms 1 and 6 - OPW13/0022

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.)


I:8J   No-go to question 14           DYes

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


D      No


D      Yes-complete Table N and submit with this application the yellow local governmenUprivate certifier’s copy of the
       receipted QLeave form

Table N

Amount paid             Date paid           QLeave project number (6digit number starting with A, B, E, L or P)

                        (dd/mm/yy)




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 Has the local government agreed to apply a superseded planning scheme to this application under section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


I:8J   No.


D      Yes-please provide details below


Name otlocal 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


Roadworks Plan and Longitudinal Section                                                        Over the Counter


Driveway Cross Sections                                                                        Over the Counter


Slope Stability Assessment                                                                     Over the Counter

IDAS Form 6 Operational Works                                                                  Over the Counter




16. Applicant’s declaration


I:8J By making this application, I declare that all information in this application is true and correct (Note:it is unlawful to
                                                                                         .




provide false or misleading information.)




6                                                                                                   IDAS form 1-Application details
                                                                                                     Version 2.017 December 2012