Idas 1 · OPW16/0270

Department of Infrastructure, Local Government and Planning

 

 

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

 

 

(see to question 12 KK) ,

 

11. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
information.)

 

 

‘es—complete Table L and submit with this application the yellow local government/private certifier's copy of the
receipted QLeave form

 

Table L

 

Amount paid Date paid QLeave project number (6 digit number
(dd/mm/yy) starting with A, B, E, L or P)

 

 

 

 

 

 

 

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 Has the local government agreed to apply a superseded planning scheme to this application under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

 

 

Yes—please provide details below

 

Name of local government Date of written notice given | Reference number of written notice given
by local government by local government (if applicable)
(dd/mm/yy)

 

 

 

 

 

 

IDAS form 1-~Application details
Version 4.2—-3 August 2015