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07/0762 - Op Works - Transport Type 5 - Domestic Marine [As Published] · 142007.762

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INTEGRATED PLANNING ACT 1997 Part E, Version 2.0, 4 October 2004

() $4 PLSL levy applicable in this instance? Cino (YES - completo 0(

(i) Has the approved foimn (issued by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment
manager / private certifier at the time of lodgement of this application?

DONO oO YES — provide receipt details below

_|

 

 

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