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10/0661 - Op Works - TransportType 5 [As Published] · 142010.661
CIO QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager of private certifier if applicable) Date receipted form sighted by|Name of officer who assessment sighted the form manager QLeave Project |Amount Number paid ($) Date paid Description of the work 4 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. Ago jig - IDAS form + version 1 0 18 December 2009
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