Development Application part 1 of 2, IDAS Forms 1, 5 & 6 - IDAS Checklist 1 - IDAS Checklist 2 - Owners Consent MCU12/0036

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

oNo t8J 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)


t8J No    -
              Go to question 15                  DYes


15. Has the local government agreed to apply a superseded planning scheme to this application under
      section 96 of the Sustainable Planning Act 20091



t8J      No

DYes 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
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   IDAS Form 1                                                                    mail




                  2   IDAS Form 5                                                                    mail




                  3   IDAS Form 5                                                                    mail




                  4   IDAS Checklist 1                                                               mail




                  5   IDAS Checklist 2                                                               mail




                  6   Town Planning Report                                                           mail




                  7   Signed Owners Consent                                                          mail




                  8   Lodgement Cheque                                                               mail




                  9   Plans of Proposal                                                              mail




117. Applicant’s declaration
 1’\71   By making this application, I declare that all information in this application is true and correct (note:it is
 161     unlawful to provide false or misleading information).




                                                                                                Application Details   -
                                                                                                                          /DAS form 1
                                                                                                  Version 1.0 18 December 2009