Development Application for permit to damage vegetation 450 Eumundi Noosa Road Doonan - OPW13/0476

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


~ No-go to question 14               DYes

13. Has the portable long servfee leave levy been paid? (Referto notes at the end of this fonn for more
infonnation.)

      No


o Yes-complete Table N and submit with this application the yellow local government/private certifier’s copy of the
      receipted Qleave fonn

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 Has the local govemment agreed to apply a superseded planning scheme to this application under section
96 of the Sustainable Planning Act 20097


~ No
DYes-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. Ust below all of the forms and supporting infonnation that accompany this application (Include all IDAS
fonns, checklists. mandatory supporting infonnation 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
                    .




   f~yY1 (,                      PrIVP            f}.Jr;V,                                       IN          P.e s~~




    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.)




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