07/2448 - MCU - Detached House [As Published] · 132007.2448

INTEGRATED PLANNING ACT 1997

Part A, Version 3.0, 3 September 2007

11. Does the application involve land other than State-owned land (ie. privately owned land) and require owner's consent?

(J No

oO Yes - Complete Table K and submit, with the application, written documentation of all owner's consent

‘Mandatory attachments 2 and supporting | information

12. What are the other parts of IDAS Application Form 1 submitted with this application, and the other mandatory attachments and
supporting information accompanying this application, not identified in those other form parts?

 

Description of attachment or information —
~ (eg. Part C of Form 1, owner's consent, evidence of |
resource allocatiorventitiement, plans, drawings, reports)

. g. General Authority, James StreetTraffic

Title (if applicable)

Report)

Methad of delivery to

Date assessment manager

 

 

1

 

 

 

 

 

 

Portable Long Service Leave (PLSL) levy for building and construction work

13. 1s payment of a Portable Long Service Leave (PLSL) levy required for building and construction work before a development permit for
the application can be given?

 

 

 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

{J No
Yes
13(b). Has the PLSL levy been paid?
O No - Complete and submit a QLeave Notification and Payment Form. The receipted form must be sighted by the assessment
manager before a development permit can be given.
&] Yes - Complete Table L and submit, with the application, the ‘yellow’ (Local Government's (Council) / Private Certifier's) copy of
the receipted QLeave Form.
Table L
° + — Qleave ProjectNumber
“ Amount paid 2 - Date paid £(6.digits: starting with A, B, E, Lor P) 3
' SHS. rane EoIG0zo
OFFICE USE ONLY
J.
Date Received | 29 ],,\>) Reference Numbers | o7f Qi F ]
+= {
{ wey tae eg :4:FOR COMPLETION BY ASSESSMENT MANAGER. 2 ad . |
Is a QLeave Notification and Payment Form required for this application?
No
(X] Yes - Complete Table M
Table M
vo OS Column 1 - “3/2 "Column 2 |". Column “Column. F Column 5] Colurnn 6
; mo , Date teceipted
Description of the work’ <> | Amount paid ) Date paid . |  QLeave Project Number - form sate PY _ Name of om sighted the
: i _ Manager | i
[ali [4st blu [£01002 |K/vle| TE.
Se)