Development Application part 1 IDAS Forms 1, 6 & IDAS Checklist - OPW12/0355

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




DNo [gJ 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 ofthis form for more information)


~ No     -   Go to question 15                             DYes


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 Has the local government agreed to apply a superseded planning scheme to this application under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




k8J    No

DYes provide details below
             -




16. List below all of the forms and supporting informatjon that accompany this application (include alllDAS
forms, checklists, mandatory supporting information etc. that will                          e submitted as                        part oftnis application. Note: this
                                                                                                                                                                                                           ,

question does not apply fQr applications made online using Smart                                DA)
                                                                                                               ’1.:"’.,       "
                                                                                                                                   ,
                                                                                                                                        ’."   -.,..


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


                 1   Form 6                                                                                                                                 over the counter




                 2   Checklist                                                                                                                              over the counter




                 3   John Norden Plans                                                                                                                      over the counter




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17. Applicant’s declaration                      "’11.0.
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  By         making this
                  application,               I declare that all information in this application is true and correct (note:it is
~ unlawful to provide false    misleading information).
                                        or




                                                                                                                                                   Application Details      -
                                                                                                                                                                                IDA S form 1
                                                                                                                                                          Version 1.018 December 2009