06/0159 - Op Works - landscaping, Driveway and Stormwater [As Published] · 142006.159

INTEGRATED PLANNING ACT 1997

by law to “sight” an approved form, issued by |5. Has the PLSL levy been paid?
Qlaave, which signifies that the PLSL levy
has been paid, O1YES - competes

4 NO - the applicable fevy must be paid before a development permit can be given for the works

Part, Version 2.0, 4 October 2004

6. How much was paid?

7. Whats the receipt number of the payment?

L J

PLEASE NOTE
This application cannot be accepted unless accompanied by Part A of Form 1.

The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicabie information
requested by Part A and any other relevant part of Form 4,

 

 

OFFICE USE ONLY (applicable fo assessment manager) .

    

 

  

 

 

 

 

 

E NUMBERS |
i(): “Isa PLSL levy applicable in this instance? [No [YES -compiste iii)
(ii) Has the approved form (issued by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment
| manager / private cerlifier at the tinte of lodgement of this application? [ino “ [J YES - provide receipt details below

 

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