MCU12/0041 Development Application part 1 of 2 IDAS forms 1 429 Kennedys Rd Pomona

ODD

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
                                                                                  ~.._~W_..       --      _.....---   ~..    ..’   -   -     .   .   -   -   -
                                                 -’-"~-’_._’ --..   -         .




                                                                                              Date receipted
                                        QLeave Project          Amount                        form sighted by Name of officer who
              Description of the work                                      Date paid
                                        Number                  paid ($)                      assessment                sighted the form
                                                                                              manager



       11
The Sustainable Planning Act 2009 (SPA)is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                                       Application Details             -
                                                                                                                                           IDAS form 1
                                                                                                         Version 1.0 18 December 2009