3836IDAS+Consent Form

 

 

 

 

12..1s 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.)

 

Dx] No—go to question 14 L] Yes

 

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

 

 

[_] No

CL Yes—complete Table N and submit with this application the yellow local government/private certifier’s copy of the
receipted QLeave form

 

Table N

 

Amount paid Date paid QLeave project number (6 digit number starting with A, B, 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14, Has the local government agreed to apply a superseded planning scheme to this application under section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 2009?

 

 

BX] No

| 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/mm/yy)

 

 

 

 

 

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

 

IDAS Form 7 Email
Planning Report including Proposal Plan (15-3836AA)

 

 

 

 

 

 

 

16. Applicant's declaration

 

 

By making this application, | declare that all information in this application is true and correct (Note: it is unlawful to
provide false or misleading information.)