IDAS Form 1 · MCU13/0064

                                                                                 Date receipted
                              QLeave project       Amount paid                   form sighted by Name of officer who
Description of the work                                              Date paid
                              number               ($)                           assessment      sighted the form
                                                                                 manager




The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agencies.




8                                                                                         IDAS form 1—Application details
                                                                                            Version 2.0 17 December 2012