07/2606 - MCU - Detached House [As Published] · 132007.2606

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INTEGRATED PLANNING ACT 1997

Part A, Version 3.0, 3 September 2007

11. Does the application involve land other than State-owned land (i.e. privately owned fand) and require owner's consent?

[X] No

(2 Yes - Complete Table K and submit, with the application, written documentation of all owner's consent

iMandatory attachments and supporting Information

142. What are the other parts of IDAS Application Form 1 submitted with this application, and the other mandatory attachments and

supporting information accompanying this application, not identified in those other form parts?

 

 

 

 

 

 

 

 

 

 

Description of attachment or information Title (if applicable) : j
(e.g. Part C of Form 1, owner's consent, evidence of | (e.g. General Authority,James StreetTraffic Date Method of ey to |
resource allocation/entitiement, plans, drawings, reports) Report) assessment manager |
1 FORME 19-12-07 over the counter
{Portable Long Service Leave (PLSL) levy for building and construction work |

 

43. ls payment of a Portable Long Service Leave (PLSL) levy required for building and construction work before a development permit for

the application can be given?
LJ No
Yes

13(b). Has the PLSL levy been paid?

No - Complete and submit a QLeave Notification and Payment Form. The receipted form must be sighted by the assessment

manager before a development permit can be given.

CI Yes - Complete Table L and submit, with the application, the "yellow" (Local Government's (Council) / Private Certifier's) copy of

the receipted QLeave Form.

OFFICE USE ONLY

 

 

Date Received an Reference Numbers

 

 

 

 

FOR COMPLETION BY ASSESSMENT MANAGER

 

 

 

Is a QLeave Notification and Payment Form required for this application?

(7) No

L] Yes - Complete Table M

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

 

To Council

 

 

 

| have been engaged as the private certifier for the building work referred to in this application

 

Date of
engagement

Accreditation number Name BSA Certification number

Building classification |