Development Application part 1 Forms REC2/0077

ODD’

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private                 ertifier 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



       11
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
agencies.




                                                                                       Application Detal7s   -
                                                                                                                 IDAS form 1
                                                                                          Version 1.0 18 December 2009


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DIO"

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

 

Date receipted
form sighted by |Name of officer who
assessment _|sighted the form

manager

(QLeave Project |Amount

Number paid ($) Dats paid

Description of the work

 

 

 

 

 

 

 

 

 

 

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
agencies.

 

Application Details - IDAS form 1
Version 1.0 18 December 2009