08/0215 - Op Works - Landscaping, Sediment & Erosion, Frontage Stormwater, Filling, Car Parking & Acess [As Published] · 142008.215

INTEGRATED PLANNING ACT 1997 Part E, Version 2.1, 18 June 2007
PLEASE NOTE

This application cannot be accepted unless accompanied by Part A of Form 1
The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information
requested by Part A and any other relevant part of Form 1

 

OFFIC E USE ON LY (applicable to assessment manager)

REFERENCE
DATE RECEIVED NUMBERIS
(i) Is a PLSL levy applicable in this instance? CUNO KK] YES - complete ayii

(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?

—X} NO C1 YES - provide receipt detaits