Development Application part 1 covering letter, IDAS application forms REC13/0015

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             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.)


             [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 government/private certifier’s copy of the
                   receipted QLeave form

        Table N

        Amount paid                 Date paid             QLeave project number (6 digit number starting with A, B, E, Lor 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 Has the local government agreed to apply a superseded planning scheme to this application under section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?


         [8J       No


             D     Yes-please provide details below


         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 alllDAS
             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

         IDAS Form 7                                                                                    mail


         Planning Report including Proposal Plans (Ref: 10-3032AF & AG)                                 mail




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             16. Applicant’s declaration        ~,
                                                     ~l




         [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 2.0 17 December 2012