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10/0819 - Operational Works - Jetty [As Published] · 142010.819
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12. Does the proposal include new building work or operational work on the premises? (including any
services)
(JNo {Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted
13. ls the payment of a portable Jong service leave levy applicable to this application? (refer to the notes at the
end of this form for more information)
[x] No - Go to question 15 CJ Yes
15. Has the local government agreed to apply a superseded planning scheme to this application under
section 96 of the Sustainable Planning Act 2009?
XX) No
(Yes - provide detaits below ”
16. List below all of the forms and supporting information that accompany this application (include ail 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) .
Method of lodgement to
Description of attachment or title of attachment assessment manager
1 jformé over the counter
2 }check list
17. Applicant's deciaration
x By making this application, | declare that ail information in this application is true and correct (note: it is
unlawful to provide false or misleading information).
Application Details - DAS form 1
Version 1.0 18 December 2009
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