Development Application - Part 1 of 2 - IDAS Forms 1 & 6 · OPW11/0119

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                             Date paid
                                      Number          (paid ($)               assessment       sighted the form
                                                                              manager




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.




                                                                                                Ief3;1 - IDAS form
                                                                                                 ^, 18 December 20!'9