Development Application part 1 Application Report REC11/0145

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

    ® No     q Yes - 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)


    ® No - Go to question 15                   q Yes



    15. Has the local government agreed to apply a superseded planning scheme to this application under
        section 96 of the Sustainable Planning Act 2009?



    ® No

    q    Yes - provide details below



.16. List below all of the forms and supporting information that accompany this application (include all IDAS
     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 eDA)

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


                      Refer to attached                                                                     eth count


    17. Applicant's declaration


     ® By making this application, I declare that all information in this application is true and correct (note: it is
         unlawful to provide false or misleading information).




                                                                                                Application Details - IDAS form I
                                                                                                  Version 1.0 18 December 2009