Development Application part 1 of 2 · OPW12/0287

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


                                                                                       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


              1


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




                                                                                              Application Details   -
                                                                                                                        IDAS form 1
                                                                                                 Version 1.0 18 December 2009


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

 

Description of the work

QLeave Project
Number

Amount
paid ($)

Date paid

Date receipted
form sighted by|Name of officer who
lassessment __|sighted the form

manager

 

 

 

 

 

 

 

 

 

 

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

agenties.

 

Application Details - IDAS form 1
Version 1.0 18 December 2009