07/0924 - Op Works - Transport Type 5 - Domestic Marine [As Published] · 142007.924

 

vy
Seepaeelert a!
INTEGRATED PLANNING ACT 1997 *_

by law o“sight- on approved form, issued by-|5. Has the-PLSL-levy-been-paid?.

i Qleave, which signifies that the PLSL levy
has been paid.

Part E, Version 2.0, 4 October 2004

 

(Yes - completeQ6
[NO - the applicable tovy must be paid before a development permit can be given for the works

6. How much was paid?
7.. Whatis the receipt number of the payment? :

[— : |

PLEASE NOTE

 

 

 

This application cannot be accepted unless accompanied by Part A of Form 1.
The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information

requested by Part A and any other relevant part of Form 1.

 

OFFICE USE ONLY (applicable to assessment manager)

L DATE RECEIVED |

| REFERENCE NUMBERIS |

 

 

e (ii) Has the approved form (issued

{i} 1s @PLSL levy applicable in this instance? CNo (YES - complete arin

manager / private certifier at the time of lodgement of this application? DNo C1 YES - provide receipt details below

by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment