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Development Application part 1 of 2 - Idas forms 1 & 5 1-7 Bayview Tce Noosa Heads · MCU10/2021
* Privacy—the information collected in this form 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 a purpose
outside of the IDAS process, except where required by legislation (including the Right to Information Act 2009) or as required
by Parliament. This information may be stored in a departmental database. The information collected will be retained as
" required by the Public Records Act 2002.
OFFICE USE ONLY
Date received . Reference numbers
NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER
To : Council. | have been engaged as the private certifier for the building work referred
to in this application
Building
Date ofengagement [|Name BSA Certification license number + .
classification/s
QLEAVE S NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
Date receipted
form sighted by {Name of officer who
assessment sighted the form
manager
Qleave Project Amount paid
Number ($) Date paid
Description of the work
The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This form and
all other required application materials should be sent to your assessment manager and any referral agencies.
7 Application details—IDAS form 1
Version 1.0 18 December 2009
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