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09/1511 - Reconfiguration (Realignment of Boundaries) [As Published] · 152009.1511
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Attachments and supporting information (Complete Table! - Use a separate row for each type of attachment or information, including information required
under this Part) Please ensure aif documentation submitted with this form, including other Perts of Form 1. or owner's consent, eic, are securely attached to this Part of the Form.
Description of attachment or information . Title ata :
‘ pplicable) Method of delivery to
Table | {eg. Pad C of For a mers conser tence of curs (0.9, Generat Authority, dames Street Traffic Repor) Date assessment manager
1 Proposal Plan Olan of Proposed Reconfiguration | 27-Jul-2009 j mail
of Lots 21 & 22 on SP161930 (Ref:
98-708A8)
[Portable Long Service Leave (PLSL) } levy (Applicable for certain building and construction work valued over $80,000 only) _}
10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
(_] the application seeks a preliminary approval only,
(1 the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
Leave) Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
regrowth, thinning vegetation or controlling weeds or pests);
{_] all costs, that refate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
L] the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
sighted by the assessment manager before a development permit can be given.
11. ts payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?
(]_ No - End of Part A
(] Yes - Answer Q12 below
OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)
Fee (8) Date received Receiving officer's Reference
name numbers
OTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER te tat
To: Council. | have been engaged as the private certifier for the building work referred to in this application.
Dateof fo. : ae Name 2+ = ae 5, BSA Certification number- |... Building classification/s:
engagement : be ot to. a 7 ju te of ob re
QLEAVE NOTIFICATION ANS PAY! completion by assessment manager or privatc certifior if applicablo}
Date receipted
Description of the work QLeave Project Number |Amount paid ($)| Date paid form sighted by | Name a om 0 sighted the
my os eo fete 2 [> manager
1
Privacy Statement
The information collected on Form 1 will be used by the Department of infrastructure and Planning eet in accordance with the processing and assessment of your Application.
wm tha Croodom of Information Act 10091 or ar
ig fhe Freedom of infor Sct 1202) or as
required by Parliament. This information may be stored in a DIP database. The infomation collected wil be retained as ered by the Public Records Act 2002.
Advice for completing Part A
General advice
. Part A of IDAS Development Application Form 1 must be completed and accompany all development applications. The applicant is responsible
for answering all questions fully and correctly, unless following a response there is a statement to go directly to another question. The
tion that is not properly made.
. Tae Here AeuGuueHE Chisuniial Hust Glo0 icted for ail development applications, other than those requiring assessment against the
Building Act 1975 only, i.e. those applications requiring the completion of Parts A and B only.
Anananman nt Mannnr mo cafes tr rongivea an rn
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