07/0399 - Form 1 [As Published] · 172007.399

INTEGRATED PLANNING ACT 1997 A007 89 4 - Part E, Version 2.0, 4 October 2004

    

Form 1 Development Application

Operational &/or building work

assessable against a local government's planning scheme

 

Completion of all question on Part E is mandatory for ail applications involving the assessment of operational work and/or building work (including detailed
engineering plans and other plans, detailed engineering plans for subdivisional works and conceptual design plans for engineering & building work when the apptication does -
not involve assessment of a material change of use of premises at the same time) assessable against a local government's planning scheme.

 

 

Nature of the application 4. This application is for (tick one (1} or both if applicable)

A development permit authorises Preliminary approval - provide detaiis of the type of work eg. roadwork, stormwater, water and
development to occur, while a pretiminary oO eed opp ofthe type rand Sewerage
approval ts a step in the approval process = -

and does not authorise development to occur. [ : |

 

The types of work that are assessable against
a planning scheme are determined by the

AND/OR
scheme i ! and ,
wiley fora partoule local govemment Development permit - provide details of the type of work eg. roadwork, stormwater, water and sewerage

 

 

To determine the types of work that are i fe, ete
assessable under a particular planning [ Leizdnée Expenscen i
scheme, contact the retevant local .
govemment. 2. _ subsequent to a previous development approval?
10 (1 YES - provide details of ail previous approvals (eg. file references) *

 

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3. Is ww for a canal estate?
10 OO Yes

Portable Long Service Leave levy (if |4. Is payment of a Portable Long Service Leave (PLSL) levy applicable to the proposal?
applicable) YES .

on teenie’ , - complete Q5
Prior to issuing a development permit for the
works, the assessment manager is required (INO - 05, 6&7 do not apply
by law to “sight” an approved form, issued by
Qteave, which signifies that the PLSL levy |5. Has the PLSL levy been paid?

has been paid. (1 YES - completeas
NO - the applicable levy must be paid before a development permit can be given for the works

6. How much was paid?
|_~/4
7. Whatis the receipt number of the payment?

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: 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 (appiicabte to assessment manager)

 

 

 

 

 

 

 

 

 

 

 

   
 

  
  
 

REFE ae
DATE RECEIVED NUMBE BJ 4 a 4 Le
RGN
RECERe | \ \ RECEIVE
‘TS MAR 2007, |: | 14 .MAR 2007
NO poy iy
SHIRE CoC 7 ‘ =
“ “ af?
Diger S