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Development application part 1 of 2 - IDAS Forms 1, 28 & 6, Covering Letter & DERM Letter Regarding Lease 222 Gympie Terrace, Noosaville · OPW10/2110

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accordance with the processing and assessment of your application. Your personal det
outside of the IDAS process, except where required by legislation (including
by Parliament. This information may be stored in a departmenta
required by the Public Records Act 2002.

| be used by the Department of Infrastructure and Planning (DIP) in

ails will not be disclosed for a purpose

the Right to Information Act 2009) or as required
| database. The information collected will be retained as

 

OFFICE USE ONLY
Date received

Reference numbers

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER
To

 

 

to in this application

 

 

 

[

Council. | have been engaged as the private certifier for the building work referred

 

Date of engagement Name BSA Certification

Building
classification/s

license number

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or priv

ate certifier if applicable) _

 

Amount paid
($)

Proj
rie toject Date paid

Description of the work "

Date receipted

form sighted by |Name of officer who
assessment sighted the form
manager

 

 

 

 

 

 

 

The Sustainable Planning Act 2
all other required application materials should be sent to your assessment mana

09 (SPA) is administered by the Department of Infrastructure and Planning. This form and
ger and any referral agencies.

IDAS torm 1
Version 1.0 18 Decembe: 2009

Used in these records

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Development application part 1 of 2 - IDAS Forms 1, 28 & 6, Covering Letter & DERM Letter Regarding Lease 222 Gympie Terrace, Noosaville.pdf · 5.6 MB (large file)

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