10/0529- Retail Type Business 2 - Shop [As Published] · 132010.529

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12. Does the proposal include new building work or operational work on thé ¢ remises? (including any
services) : ao

 

 

 

No [[] 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) _ .

 

 

[—X] No - Go to question 15 ( Yes

 

 

 

 

 

 

 

 

 

 

Description of attachment or title of attachment Method of f lodgement to
assessment manager
1 | Owners consent over the counter
2  |Martoo Consulting Planning Report 01204- A over the counter
3 |Form5 over the counter

 

 

 

 

 

 

 

 

x 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

 

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