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Development Application Part 1 Application forms

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QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)


                                                                               Date receipted
                                      QLeave Project    Amount                 form sighted by Name of officer who
              Description of the work Number                       Date paid
                                                        paid ($)               assessment       sighted the form
                                                                               manager



       11
The Sustainable Planning Act 2009 (SPA)is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                       Application Details   -
                                                                                                                 IDAS form 1
                                                                                         Version 1.0 18 December 2009
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