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Development Application - Part 1 of 2 - Covering Letter, IDAS Forms 1 & 6 and Checklist 1 & 4

of 20

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DDD
Privacy -the information collected in this form will be used by the Department of Infrastructure and Planning (DIP)in
accordance with the processing and assessment of your application. Your personal details will not be disclosed for a
purpose outside of the IDAS process, except where required by legislation (including the Right to Information Act
2009) or as required by Parliament. This information may be stored in a departmental database. The information
collected will be retained as required by the Public Records Act 2002.


OFFICE USE ONLY



Date received




To:




Date of                                                                    BSA Certification       Building
engagement                                                                 license number          classification/s




QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)



                                                                                  Date receipted
                                          QLeave Project   Amount                 form sighted by Name of officer who
                Description of the work                               Date paid
                                          Number           paid ($)               assessment       sighted the form
                                                                                  manager



          11
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.




                                                                                         Application Details   -
                                                                                                                   IDAS form 1
                                                                                            Version 1.018 December 2009


[OCR of page images]
LiL

Privacy -the information collected in this form will be used by the Department of Infrastructure and Planning (DIP) in
accordance with the processing and assessment of your application. Your personal details will not be disclosed for a
purpose outside of the IDAS process, except where required by legislation (including the Right to Information Act
2009) or as required by Parliament. This information may be stored in a departmental database. The information
collected will be retained as required by the Public Records Act 2002.

 

OFFICE USE ONLY

iS
Date received An oo)
YS .

X. ;
NOTIFICATION OF GagemEnt a PRIV; ‘E CERTIFIER
To: “oO @Q yd ‘ at “| Council. | have been engaged as the private certifier for the

© | building work referred to in this application.
Date of $
engagement

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BSA Certification Building
license number classification/s

 

 

 

 

 

 

 

Date receipted

sil QLeave Project |Amount ., |form sighted by|Name of officer who
Description of'the work Number paid ($) Date paid assessment _ |sighted the form
manager

 

 

 

 

 

 

 

 

 

 

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.

 

Application Details - IDAS form 1
Version 1.0 18 December 2009

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