Development Application - Part 1 of 2 - IDAS Forms 1 & 6 and Checklist - OPW13/0503

    11. Does the proposal include new building work or operational work on the premises? (Including any
                                                                                                                 services.)

D       No    X     Yes-ensure the nature, location and dimension of proposed works are included in plans submitted
              D

12. Is the payment of a portable long service leave levy applic~ble to this application? (Refer to notes at the end
of this form for more information.)


X       No-go to question 14        DYes
D

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~omplete Table N and submit with this application the yellow local governmenUprivate certifier’s copy of the
        receipted QLeave form

Table N

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 Has the local government agreed to apply a superseded planning scheme to this application under section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


X       No

D
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 aU of the forms and supporting information that accompany this application (Include all IDAS
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

Form 6

Checklist




6                                                                                             IDAS form 1-Applicafion details
                                                                                               Version 2.0 17 December 2012