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Development Application Part 1 of 2 IDAS Forms 1 & 5 & 6 MCU11/0168 & OPW11/0257

of 22

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

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 Has the local government agreed to apply a superseded planning scheme to this application under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


q    No
Z Yes - provide details below


                                              Date of written notice given by Reference number of written notice given
          Name of local govemment
                                                    local government             by local government (if applicable)


Noosa Shire council                           plan of development ACA -1       TPC 2850

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
                 ARCHITECTS REPORT FOSTER DESIGNS PL 22ND JUNE 2011
             1   ARCHITECTS PLANS FOSTER DESIGNS PL 22ND JUNE 2011                              over the counter
                 LANDSCAPE PLANS
                 IDAS FORMS 1, 5, 6

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).




                                                                                          Application Details - /
                                                                                            V--, 1 n IR n,.,

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