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Development Application part 1 of 2 IDAS Forms 1, 6 & Covering Letter - MCU13/0069

of 17

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 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.)


 ./   No-go to question 14              DYes

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


 ./    No

 D     Yes-complete Table N and submit with this application the yellow local governmenUprivate certifier’s copy of the
       receipted QLeave form

Table N

Amount paid              Date paid                         QLeave project number (6 digit number starting with A, B, E, L or P)

                         (dd/mm/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 Has the local government agreed to apply a superseded planning scheme to this application under section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?


 ./    No

 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 alllDAS                                                                                                                                               ,pj)
                                                                                                                                                                                                                                                              I’ ~.



 forms, checklists, mandatory supporting information etc. that will 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 5                                                                                                                                                                  Over the counter

Martoo Consulting Planning Report 01290                      -
                                                              A                                                                                                         Over the counter


Cheque                                                                                                                                                                  Over the counter

Sunshine Coast Regional Council             Application for Owners Consent                                                                                              Over the counter

Sunshine Coast Regional Council Fee Quote                                                                                                                               Over the counter


                                                                                                                                                                                                                    ..
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 16. Applicant’s declaration                                              ...
                                                                                t                ’f1!)~ L~..         ~. i’ ~,     )’~
                                                                                                                                      \-1’C’ J ’.f" ,r"’,                    ,~.~~e~~(’~,                  .         1.\         r<,
                                                                                                                                                                                                                                  -r
                                                                                                                                                                                                                                             1:: .  )’~

                                   ~.II. ___".’" ,~_i.J<            ~
                                                                        i:" -’ _!       ~    ’MO_~     ~~"..~ _"4~...’. j ~...h::V’:ft@_’~~:"h -".~   "jt[.~-""~Io. "~,~f’~’:’~’.--.._.__~".                                           ~:-,       ~..




 ./ By making this application, I declare that all information in this application is true and correct (Note: it is unlawful to

 provide false or misleading information.)


Notes for completing this form



6                                                                                                                                                                                IDAS form 1-Application details
                                                                                                                                                                                     Version 2 0 17 December 2012
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