07/2555 - Operational Works - Drainage Stormwater Vegetation [As Published] · 142007.2555

INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007

[Portable Long Service Leave (PLSL) levy for building and construction work J

13. Is payment of a Portable Long Service Leave (PLSL) levy required for building and construction work before a development permit for
the application can be given?

[J No
Yes

13(b). Has the PLSL levy been paid?

No - Complete and submit a QLeave Notification and Payment Form. The receipted form must be sighted by the assessment
manager before a development permit can be given.

(1 Yes - Complete Table L and submit, with the application, the "yellow" (Local Govemment's (Council) / Private Certifier's) copy of

 

 

 

 

 

 

 

 

 

the receipted QLeave Form.
OFFICE USE ONLY
Date Received 4] A L|=4 Reference Numbers | oT ( 2ss5

[ FOR COMPLETION BY ASSESSMENT MANAGER 4
Is a QLeave Notification and Payment Form required for this application?

LJ No

(] Yes - Complete Table M
[ NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER |

 

 

To Council

 

 

 

| have been engaged as the private certifier for the buitding work referred to in this application

 

Date of hati EE att « ot
engagement Accreditation number Name BSA Certification number Building classification