Development Application Application - Vegetation Removal IDAS forms 1 & 6 · OPW12/0161

      1\
~




          ODD
    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



    OFFICE USE

     Date recei                  Z 6 JON 201Z               I   R ference numbers         I Oe VV \ ~It? t b I
    NOT.IFICATI   N OF   ENGAGEMB9’W8r~ATE CERTIFIER
     To                                                          een   engaged as the private certifier for the building work referred
                                              to in this application




                                                                                                                 Building
    Date of engagement        Name                                           BSA Certification license number
                                                                                                                 classificationjs




    QlEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
                                                                                               Date receipted

                                      Qleave Project        Amount paid                        form sighted by    Name of officer who
    Description of the work                                                       Date paid
                                      Number                ($)                                assessment         sighted the form
                                                                                               manager




      The Sustainable PlanningAct 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