Application for permit to damage vegetation - OPW13/1024

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       Question 12
       .    The portable long service leave levy need not be paid when the application is made, but the Building and
            Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
            permit is issued.
       .
            Building and construction industry notification and payment forms are available from any Queensland post office or
            agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For
            further information contact QLeave on 1800803481 or visit www.qleave.qld.gov.au.



       Privacy-The information collected in this form will be used by the Department of State Development, Infrastructure
       and Planning (DSDIP),assessment manager, referral agency and/or building certifier in accordance with the
       processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
       the IDAS process or the provisions about public access to planning and development information in the Sustainable
       Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
       Parliament. This information may be stored in relevant databases. The information collected will be retained as
       required by the Public Records Act 2002.


       OFFICE USE ONLY

        Date received                                                                   I Reference numbers
       NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER


        To
                                                                                        I      Council. I have been engaged as the private certifier for the
                                                                                               building work referred to in this application

                                                                                                                                 BSA Certification license                                 Building



       t
        Date of engagement                       Name
                                                                                                                                 number                                                    classification/s




       QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
       applicable.)
                                                                                                                                                              Date receipted
                                                                                                                                                                                               Name of officer
                                                          QLeave project                Amount paid                                                           form sighted by
        Description of the work                                                                                                       Date paid                                                who sighted the
                                                          number                        ($)                                                                   assessment
                                                                                                                                                                                               form
                                                                                                                                                              manaqer




       The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
       Planning. This form and all other required application materials should be sent to your assessment manager and any
       referral agency.




    Department of State Development, Infrastructure and Planning
    PO Box 15009 City East Old 4002
    tel 13 OGOV (1374 68)
    [email protected]                                                                                                                                                   IDAS form 1....AppficaliOi1 de,!!’!’,’
                                                                                                                                                                                         Version 3.0. ......7 ,julv 20 f"l
    www.dsdip.qld.gov.au

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