001AD296.001

INTEGRATED PLANNING ACT 1997                                                                                    Part A, Version 3.1, 3 March 2008
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        40.  The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
              [1 the application seeks a preliminary approval only;
              ([] 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 use, or for the following types of work carried out salely for
                   farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
                   regrowth, thinning vegetation or controlling weeds or pests);
@                  all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
               {"] the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
                   Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
                   sighted by the assessment manager before a development permit can be given.
         11.   Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?
                 BX]   No - Endof Part A
                 [}    Yes - Answer Q12 below
         OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)
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                          QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
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           Privacy Statement
           The information collected on Form 1 wil! 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 a purpose outside of the IDAS process, except where required by legislation (including the Freedom of information Act 1992) or as
           required by Parliament. This information may be stored in a DIP database. The information collected wil be retained as required by the Public Records Act 2002.
           Advice for completing Part A