07/1849 - Op Works - Residential Subdivision [As Published] · 142007.1849

 

INTEGRATED PLANNING ACT 1997

PLEASE NOTE

Part E, Version 2.1, 18 June 2007

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 (appticabie to assessment manager)

 

 

 

 

 

(ii) Has the approved form (issued by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment

?- Nate pees 2, * REFERENCE
jr “DATE RECEIVED .. -- NUMBERIS
(i) 's aPLSL tevy applicable in this instance? . (JNO 1 YES - compiete a1

manager / private certifier at the time of lodgement of this application?

CiNo

1 YES - provide receipt detais