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07/2011 - MCU - Detached House [As Published] · 132007.2011

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007
Table L
. . ore QLeave Project Number — oS
Amount paid : Date paid (6 digits: starting with A: 8, E, Lor P) ;
I. + W& Butyp.0o 2s lalo7 E Oi O72)
OFFICE USE ONLY
|Date received | 3 frcl 7} | {Reference numbers’: .- otf 21°

 

 

 

 

FOR COMPLETION BY ASSESSMENT MANAGER

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

 

 

[.] No

C] Yes — Complete Table Vi

Table M

: 4 ole dhe eee ard : : F ad a ahd dts mic eat ge met PAE TRS PN ee ED ow TDC Ped pe Boe cette,
soy es “Columaed Fs éebs tela} Column 2:5 J Columna Srgh ay itt 8! Cotumn'4e ee gee sesColumna' 5, o 228] ek Column 6°
; Piya gifted eco Cepia) fasbee veh te ece ogo eA ty te et Taceini Tee BN yee se
ow tt we Amount paid Sep tee Ae See Bs ~: Date receipted form’. . , Name of officer:who -.

_., + Desenption of the work” [oss $) vu Date paid 3} .:.., Qleave Projéct Number. -.::| sighted. by-assessment. sighted'tie form
Hg tate ey Yb ci Wass. Ue ha Sh Pain hth Latest Pecoese manager hh vase gee ool

 

 

nl

 

 

 

 

 

 

 

 

 

 

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 °° bo LA Ue tte i ee ee RA Me Pee ae a PS
- -- }.*  “Agcreditation number - = >. .* Name |: BSA Certification number -; Building classification: -
engagemem -}. >. ee Potter are a pete ee oh RR ge

 

 

 

 

 

 

 

 

 

Advice for completing Part A

 

General advice
* Under IPA, section 3,2. 1(7} mandatory requirements must be correctly completed for a development application to be a ‘properly made application’,
The assessment manger may refuse to receive an application that is not properly made.

¢ Completion of Part A of Form 1 is required for ail development apptications. Other mandatory requirements, applicable to certain types of
applications, are stated in other Parts of Form 4.

¢ The IDAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the

 

 

Building Act 1975 only.
¢ For further information about completing this form go to IDAS Guide 1 (Making and IDAS aoolication}
Q1 » The premises, the subject of the application, may be identified in a number of ways. Street address and {ot on plan are most common.

Lot on plan details can be obtained from title documents or through the local government.

« The term ‘premises’ is defined by the IPA, schedule 10 to mean a building or other structure, and tand (whether or not a building or other
structure is situated on the land). The term ‘land’ is also defined to include the estate in, on, over or under the land.

+ Adescription of the land is not required if the application relates to a mobile and temporary Environmentally Relevant Activity (ERA) only.
Instead complete Q1{a).

« Strategic Port Land is within a local govemment area but a focal government's planning scheme does not apply on Stategic Port Land.
Strategic Port Land is declared under the Transport Infrastructure Act 1994. For further information go to IDAS Guide 11 (Development
on strategic port land) and the Queensland Transport (Ports) website.

Q2 + Coordinates often provide the best means of accurately identifying the location of development proposed in waters, or on a relatively

small development site distant from property boundaries. Sufficient coordinates need to be provided to identify the boundary of the
premises the subject of the apptication.

¢ Eastings and northings using GDA94 datum is preferred, but longitude and latitude and other (specified) datum may be provided.

 

 

 

 

 

 

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