Development Application part 1 of 2 · OPW12/0089

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

oNo ~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                 DYes


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 Has the local government agreed to apply a superseded planning scheme to this application under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



~    No

DYes provide details below
            -




16. List below all of the forms and supporting information that accompany this application (include alllDAS
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


                1   FormS                                                                            over the counter




                2   Checklist                                                                        over the counter




                3   John Norden Plans                                                                over the counter




                                                               ~~i,
117. Applicant’s declaration                           -,
                                                                                      ;   ,._




      By making this application, I declare that all information in this application is true and correct (note:it is
 [8J unlawful to provide false or misleading information).




                                                                                                Application Details   -   IDAS form 1
                                                                                                  Version 1.018 December 2009