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

                                                                 BSA Certification license          Building
Date of engagement    Name
                                                                 number                             classification/s




QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
applicable.)
                                                                                  Date receipted
                              QLeave project       Amount paid                   form sighted by     Name of officer who
Description of the work                                              Date paid
                              number               ($)                           assessment          sighted the form
                                                                                 manager




The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agencies.




8                                                                                            IDAS form 1-Applicafion details
                                                                                              Version 2.017 December 2012