OPW13/0874 Application for permit to damage vegetation 6 Flooded Gum Place

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      Question 12
         The portable long service leave levy need not be paid when the application is made, but the
                                                                                                                 Building and
         Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a
                                                                                                                        development
         permit is issued.
         Building and construction industry notification and payment forms are available from any Queensland post office or
         agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For
         further information contact QLeave on 1800803481 or visit www.qleave.qld.gov.au.



      Privacy-The information collected in this form will be used by the Department of State Development, Infrastructure
      and Planning (DSDIP),assessment manager, referral agency and/or building certifier in accordance with the
      processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
      the IDAS process or the provisions about public access to planning and development information in the Sustainable
      Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
      Parliament. This information may be stored in relevant databases. The information collected will be retained as
      required by the Public Records Act 2002.


      OFFICE USE ONLY


       Date received
                                                                    I Reference numbers
      NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

       To
                                                                I    Council. I have been engaged as the private certifier for the
                                                                     building work referred to in this application

                                                                                    BSA Certification license          Building
       Date of engagement          Name
                                                                                    number                             classification/s




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

                                                                                                     Date receipted
                                                                                                                         Name of officer
                                          QLeave project        Amount paid                          form sighted by
       Description of the work                                                         Date paid                         who sighted the
                                          number                ($)                                  assessment
                                                                                                                         form
                                                                                                     manaqer




      The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
      Planning. This form and all other required application materials should be sent to your assessment manager and any
      referral agency.




 Department of State Development, Infrastructure and Planning
 PO Box 15009 City East Old 4002
 tel 13 OGOV (1374 68)
 [email protected]                                                                                       IDAS form 1-Application details
                                                                                                                     Version 3.0-1 July 2013
 www.dsdip.qld.gov.au

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