Development application part 1 of 2 IDAS forms 1 & 6 · OPW13/0914

X        No    D     Yes-ensure the type, location and dimension of each easement is included in the plans submitted
    D

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


D        No    X     Yes-ensure the nature, location and dimension of proposed works are included in plans submitted
               D

    12. Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the end
of this form for more information.)


X        No-go to question 14        DYes
D

13. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
information.)

x        No

D        Yes-<:omplete Table N and submit with this application the yellow local government/private certifier’s copy ofthe
         receipted QLeave form

Table N

Amount paid              Date paid         QLeave project number (6digit number starting with A, 8, E, Lor P)

                         (ddlmm/yy)




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 Has the local government agreed to apply a superseded planning scheme to this application under section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


X        No
D
D       Yes-please provide details below

Name of local government                         Date of written notice given   Reference number of written notice given
                                                 by local government            by local government (if applicable)
                                                 (dd/mm/yy)




15. List below all of the forms and supporting information that accompany this application (Include all I DAS
forms, checklists, mandatory supporting information etc. that INiIl be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA.)


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

Form 6

Checklist




6                                                                                             fDAS form 1-Applicafion defails
                                                                                               Version 2.017 December 2012