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Part 1 of 2 - Part 1 of 2 - 177 Shorehaven Drive, Noosaville · OPW10/2149
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412.-Does-the- proposal include. new w building: work. or. operational work-o! on nthe premises? (including: any-
“ services) # ee i e a 4
LJNo_ [e] 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 2 levy applicable to this application? (refer to the notes at the
end of this form for more information) 9-0 us Sa .
[*] No - Go to question 15 L 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 Has the local government agreed to apply a superseded planning ¢ scheme to this application under.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? * | " Poo
see id
{e] No
[]_ Yes - provide details below
16. 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 vA
question does not apply for applications made online using Smart eDA);
Method of lodgement to to
Description of attachment or title of attachment
assessment manager
4 | Form6 over the counter
2 | Checklist : over the counter
3 John Norden Plans , over the counter
17. Applicant's declaration
By making this application, | declare that all information in this application is true and correct (note: it is
[v] unlawful to provide false or misleading information).
Application Detaiis - IDAS form 4
Version 1.0 18 December 2009
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