Council document · MCU13/0038

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


    ,/
         No-go to question 14         DYes
                                                                                                                                               .t...-,   ",-


    13. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
 information.)


    ,/   No

 D       Yes-complete 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, B, 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 Has the local government agreed to apply a superseded planning scheme to this application under section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?


 ,/      No

 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 all 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


 Idas Form 5                                                                                                    mail

Martoo Consulting Letter of Support and proposal plans                                                          mail




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    16. Applicant’s declaration
                                                                   ..




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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.)



Notes for completing this form



6                                                                                                                         IDAS form 1-Application details
                                                                                                                           Version 2.017 December 2012