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Development Application part 1 of 2 - IDAS Forms - OPW13/0163

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    X     No     o      Yes-ensure the type, location and dimension of each easeme
    o

    11. Does the proposal include new building work or operational work on th



    o No         X      Yes-ensure the nature, location and dimension of proposed w
                 o

    1 2. Is the payment of a portable long service leave levy applicable to this a
    0f thi s form for more i nformati   on.)

    X     No-go to question 14             DYes
    o

    13. Has the portable long service leave levy been paid? (Referto notes at th
    information.)


    o No
    o Yes-complete Table N and submit with this application the yellow local go
          receipted QLeave form

    TableN

A mount paid                Date paid          QLeave project number (6digit number s

                            (ddlmmlyy)




    14. Has the local government agreed to apply a superseded planning sche
    96 of the Sustainable Planning Act 2()()fJ?


    X    No
    o
    o Yes-please provide details below

N ame of local government                           Date of written notice given   Ref
                                                    by local government              l

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