Development Application - Part 1 of 2 - Covering Letter, Decision Notice and IDAS Forms 1 & 6 - OPW13/0142

o        No-go to question 14          ~            Yes




o        No


~        Yes-complete Table N and submit with this application the yellow local government/private certifier’s copy of the
         receipted QLeave form

Table N


Amount paid                Date paid                QLeave project number (6 digit number starting with A, B, E, Lor P)

                           (dd/mm/yy)

9957                       27/04/2011               E084029




 ~        No


 o        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)




 Description of attachment or title of attachment                                                                                                                                                Method of lodgement to
                                                                                                                                                                                                assessment manager


 (1)Plans & specifications relevant to the proposed works.                                                                                                                                       Email for printing if required.


 (2)IDAS Form 2                                                                                                                                                                                  Email for printing if required.


 (3)Engagement Agreement                                                                                                                                                                         Email for printing if requ ired.




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 ~ By making this application, I declare that all information in this application is true and correct (Note: it is unlawful to
     provide false or misleading information.)




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