Development application part 1 of 2 IDAS Forms 1 & 6 · OPW13/0918

D

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


D     No      X   Yes-ensure the nature, location and dimension of proposed works are included in plans submitted
              D

12. Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the end
of this form for more information.)


X    No-go to question 14          DYes
D

13. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
information.)

x    No

D    Yes-complete Table N and submit with this application the yellow local governmenUprivate certifier’s copy of the
     receipted QLeave form

Table N

Amount paid            Date paid         QLeave project number (6digit number starting with A, B, E, Lor P)

                      (dd/mm/yy)




14. Has the local government agreed to apply a superseded planning scheme to this application under section
96 of the Sustainable Planning Act 200fT?


X    No
D
D    Yes-please provide details below


Name of local government                       Date of written notice given    Reference number of written notice given
                                               by local government             by local government (if applicable)
                                               (dd/mm/yy)




15. 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.)


Description of attachment or title of attachment                                         Method of lodgement to
                                                                                         assessment manager


Form 6

Checklist




6                                                                                             IDAS form 1-Applicetion details
                                                                                               Version 2.017 December 2012