Development Application - Part 1 of 2 - IDAS Forms 1 & 6 and Checklist 1 - OPW12/0272

DDD
12. Does the proposal include new building work or operational work on the premises? (
                                                                                     ncluding any
      services)

DNo [gJ Yes           -
                          ensure the nature, location and dimensions of             proposed works are included in plans submitted

13.ls the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
      end of this form for more information)


r8J No    -
              Go to question 15                     DYes


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 Has the local government agreed to apply a superseded planning scheme to this applicatiQn under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



r8J    No

DYes provide details below
              -




16. List below all of the forms and supporting information that accompany this application (include all JPAS
forms, checklists, mandatory supporting information etc, that will be submitted as part of this application. Note: this
question does not a ply for applications made online using Smart eDA)
                                                                                                  ’~
                                                                                                             "~;.":~I,

                                                                                                                             Method of lodgement to
                                    Description of attachment or title of attachment
                                                                                                                              assessment manager


                  1   Form 6                                                                                                 over the counter




                  2   Checklist                                                                                              over the counter




                  3   John Norden Plans                                                                                      over the counter




117. Applicant’s declaration
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   By making          this
                   application,             I declare that all information in this application is true and correct (note:it is
 ~ unlawful to provide false    misleading information).
                                       or




                                                                                                                   Application Details      -
                                                                                                                                                IDAS form 1
                                                                                                                           Version 1.0 18 December 2009