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07/0344 - MCU - Preliminary building work assessable against planning scheme [As Published] · 172007.344

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INTEGRATED PLANNING ACT 1997
{i) tsa PLSL levy applicable in this instance? (No

 

Part E, Version 2.0, 4 October 2004
YES - comptete Qi)

(ii) Has the approved form (issued by QLeave and which signifies that the PLSL levy has been paid) been sighted by the assessment
manager / private certifier at the time of lodgement of this application?

NO (0 YES - provide receipt details below

L _|

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