Development Application Part 1 of 2 - IDAS Forms 1 and 6 - OPW13/0425

    D     No    X     Yes-ensure the nature, location and dimension of proposed works are included in plans submitted
                D

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


    X     No-go to question 14         DYes
    D

    13. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
    information.)


    D    No


    D    Yes~omplete Table N and submit with this application the yellow local government/private certifier’s copy ofthe
         receipted QLeave form

Table N

Amount paid                Date paid         QLeave project number (6digit number starting with A, S, E, L or P)

                           (dd/mm/yy)




    14. Has the local government agreed to apply a superseded
                                                                      planning scheme to this application under section
    96 of the Sustainable Planning Act 20091


X        No

D
D        Yes-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/mmlyy)




    15. 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.)


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

Form 6

Checklist




    16. Applicant’s declaration




6                                                                                                IDAS form 1-Applicafion details
                                                                                                  Version 2.0 17December 2012