07/1571 - Operational Works - Carparking & Access, Stormwater Drainage & Excavation [As Published] · 142007.1571

INTEGRATED PLANNING ACT 1997 Part E, Version 2.1, 18 June 2007
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PLEASE NOTE
This application cannot be accepted unless accompanied by Part A of Form 1.
The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information
Tfequested by Part A and any other relevant part of Form 1.

 

 

OFFICE USE ONLY (applicable to assessment manager)

 

 

 

 

 

 

 

REFERENCE
DATE RECEIVED NUMBERIS
() |s aPLSL levy applicable in this instance? [INO [71 YES - completo crip

(i) Has the approved form (issued by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment
manager / private certifier at the time of lodgement of this application?

LINO I YES - provide receipt detaiis