Development Application Part 1 Application forms

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

C8J No 0Yes              -
                             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)


C8J No       -
                 Go to question 15                  DYes


15. Has the local government agreed to apply a superseded planning scheme to this application under
       section 96 of the Sustainable Planning Act 20091



C8J         No

DYes provide details below
                 -




16. List below all ofthe forms and supporting information that accompany this application (include alllOAS
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 eOA)

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


                     1   IOAS forms 7 & 34                                                              over the counter




                     2   Proposal plan                                                                  over the counter




                     3   Planing report                                                                 over the counter




117. Applicant’s declaration
 1’\71      By making this application, I declare that all information in this application is true and correct (note: it is
 IL:::::J   unlawful to provide false or misleading information).




                                                                                                    Application Details   -   IDAS form 1
                                                                                                      Version 1.0 18 December 2009