Development Application - Part 1 of 2 - IDAS Forms 1 & 6 and checklist 1 · OPW11/0248

12. Does the proposal include new building work or operational work on the premises? (including any
    services)


[:]No    ® Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted


13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
   end of this form for more information)


® No - Go to question 15                   J Yes



15. Has the local government agreed to apply a superseded planning scheme to this application under
   section 96 of the Sustainable Planning Act 2009?



® No

0 Yes - provide details below



16. List below all of the forms and supporting information that accompany this application (include all IDAS
forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA)

                                                                                                 Method of lodgement to
                               Description of attachment or title of attachment
                                                                                                 assessment manager

                 FORM 6                                                                          over the counter



                 CHECKLIST                                                                       over the counter


                 JOHN NORDEN PLANS                                                               over the counter



117. Applicant's declaration


 ® 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).