OPW11/0263 Development Application part 1 of 2 IDAS Form 1 & 6 13 The Anchorage Noosaville

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

q No M 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                   q 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 Has the local government agreed to apply a superseded planning scheme to this application under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?


     No
q    Yes - provide details below


16. List bE iow an or the Corms ana supporting mtormation mat accompany tnis application tmcwae an uu
forms, the -klists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question d yes not apply for applications made online using Smart eDA)

                                                                                                Method of lodgement to
                              Description of attachment or title of attachment
                                                                                                 assessment manager

            1    Form 6                                                                          over the counter



            2    Checklist                                                                       over the counter



            3    John Norden Plans                                                               over the counter



17. Applicant's declaration


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




                                                                                              rplication Details - IDAS form I
                                                                                              Version 1.0 18 December 2009