Development Application part 1 Forms REC2/0077

’ODD’
12. Does the proposal include new building work or operational work on the premises? (including any
      services)

[8l No DYes              -
                             ensure the nature, location and dimensions of   proposed works are included in plans submitted

13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
      end of this form for more information)


[8l No   -
             Go to question 15                      DYes

            .        .




15. Has the local government agreed to apply a superseded planning scheme to this application under
      section 96 of the Sustainable Planning Act 2009?



[8l    No

DYes provide details below
             -




16. List below all ofthe forms and supporting information that accompany this application (include alllDAS
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)

                                                                                                        Method of lodgement to
                                       Description of attachment or title of attachment                   assessment manager


                 1       IDAS Form 7                                                                     mail




                 2       Planning Report including Proposal Plan (Ref:12-3279AA)                         mail




117. Applicant’s declaration
        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).




                                                                                                    Application Details   -
                                                                                                                              IDAS form 1
                                                                                                      Version 1.0 18 December 2009


[OCR of page images]
OD:

 

12. Does the proposal include new building work or operational work on the premises? (including any
services)

 

DXJNo_ [_]Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted

 

13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
end of this form for more information)

 

 

 

[IX] No - Go to question 15 (J Yes

 

45. Has the local government agreed to apply a superseded planning scheme to this application under
section 96 of the Sustainable Planning Act 2009?

 

 

 

XX No
(Yes - provide details below

 

16. List below all of the forms and supporting information that accompany this application (include all IDAS
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)

 

 

 

 

Sma . Method of lodgement to
Description of attachment or title of attachment assess t manager
1 |IDAS Form7 mail
2 | Planning Report including Proposal Plan (Ref: 12-3279AB) mail

 

 

 

 

 

17. Applicant's declaration

 

 

Xx By making this application, | declare that all information in this application is true and correct (note: it is
unlawful to provide false or misleading information).

 

 

 

Application Details - IDAS form 1
Version 1.0 18 December 2009