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07/0466 - MCU - Fetached House - Bruce Alan Neville [As Published] · 132007.466

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INTEGRATED PLANNING ACT 1997 Part E, Version 2.0, 4 October 2004

(Q's a PLSL levy applicable in this instance? (JNO (YES - complete (ip
(ii) Has the approved form (issued by QLeave and which signifies that the PLSL fevy has been paid) been sighted by the assessment
manager / private certifier at the time of lodgement of this application?

CNo (11 YES - provide receipt details below

— _|

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