001AA433.001

INTEGRATED PLANNING ACT 1997                                                                                Part A, Version 3.1, 3 March 2008
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                          John Norden Plans                           T. Strapp                            48-May-2009
       40.  The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
             (LJ the application seeks a preliminary approval only;
             [_] the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
                 Leave) Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for
                 farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
                 regrowth, thinning vegetation or contrating weeds or pests);
             [X all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
@            [_] the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1997 -
                  Complete and submit a Qleave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
                  sighted by the assessment manager before a development permit can be given.
        11.   Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information}?
                (K]   No - End of Part A
                CC    Yes - Answer Qi2 below
        OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier} (Optional)
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                         QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager oF private certifier if applicable)
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          Privacy Statement
          The information collected on Form 1 will be used by the Department of Infrastructure and Planning {DIP} in accordance with the processing and assessment of your Application.
          Your personal details will not be disclosed for a purpose outside of the IDAS process, except where required by legislation (including the Freedom of information Act 1992) or as
          requited by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.
          Advice for completing Part A