Application for permit to damage vegetation - OPW13/0669

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Question 12                                                                                                        but the Building and
                                                                   need not be paid when the application is made,
                                                          .




   The portable long service leave levy
.

                                                                    Service Leave) Act 1991 requires the levy to be paid before a development
 Construction Industry ’(Portable Long
 permit is issued.                                                               from any Queensland post office or
                                    notification and payment forms are available
.Building and construction industry                          the QLeave website at www.qleave.qld.gov.au.
                                                                                                          For
          on request from QLeave, or can be completed on
 agency,
                                                       or visit www.qleave.qld.gov.au.
        information contact QLeave on 1800 803481
       further


                                                                                 of State Development,                                                   Infrastructure
                                          form will be used by the Department
Privacy-The information collected in this                      and/or building certifier in accordance with the
                                              referral agency
and Planning (DSDIP),assessment manager,                                                                         outside of
                            of your application. Your personal
                                                                details should not be disclosed for a purpose
processing and assessment                                                                information in the Sustainable
                                   about public access to planning and development
the IDAS process or the provisions                                                             Act 2009) or as required by
                                                         (including the Right to Information
Planning Act 2009, except where required by legislation                                                 retained as
                                                                                                       information collected will be
                                     stored in relevant databases. The
 Parliament. This information may be
                                Act 2002.
 requiredby the Public Records


 OFFICE USE ONLY

  Date received                                                                    I Reference numbers
                                                                          PRIVATE CERTIFIER
 NOTIFICATION OF ENGAGEMENT OF A
                                                                                                                                                      certifier for the
                                                                                       Council. I have been engaged as the private
  To
                                                                                   I   building work referred to in this application

                                                                                                     BSA Certification license                          Building
                                                Name                                                  number
                                                                                                                                                        classification/s
   Date of engagement




                                                                               completion by assessment manager
                                                                                                                                          or   private certifier if
  QLEAVE NOTIFICATION AND PAYMENT (For
  applicable.)
                                                                                                                                      Date receipted
                                                                                                                                                              Name of officer
                                                                                       Amount paid                                    form sighted by         who sighted the
                                                              QLeave project                                Date paid
                                                                                                                                      assessment
       Description of the work                                number                   ($)                                                                    form
                                                                                                                                      manaaer




                                                                                                                                                                                   and
                                                                          of State Development, Infrastructure
                                 2009 is administered by the Department
   The Sustainable Planning Act                                                                                and any
                                                         materials should be sent to your assessment manager
   Planning.This form and all other required application
   referral agency.




                                                         Infrastructure and Planning
 Department of State Development,
                                          4002
 PO Box 15009 City East Old
 tel 13 OGOV (137468)                                                                                                                             IDAS form 1                  ipoi’catlOn detc"’s
 [email protected]                                                                                                                                                             3.0.     1 July .’0I J


 www.dsdip.qld.gov.au                                                                                                                                                              =-==--
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