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0014C22C.001

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      INTEGRATED PLANNING ACT 1997                                                                                   Part F, Version 2.0, 4 October 2004
                                            13.  Estate name & stage number: (applicable if the application is for a stage or stages of an overall subdivision
                                                 pi OpOSa!

                                            14. Area of land to be contributed for community  purposes: (if applicable)

                                            15.  Length of new road to be constructed: (if applicable)

                                                                  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 (applicable to assessment manager)
                                                                REFERENCE

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