[INSERT PLANNING SCHEME NAME] PLANNING SCHEME

SCHEDULE TO CLAUSE 66.04 REFERRAL OF PERMIT APPLICATIONS UNDER LOCAL PROVISIONS

1.0 Referral of permit applications under local provisions

Clause Kind of application Referral authority Referral authority type

Insert the specific Clause number subject to the referralorInsert “None specified”

Insert the kind of application subject to the referralorInsert “None specified”

Insert Referral authority nameorInsert “None specified”

Insert Referral authority type (Determining authority or Recommending authority)orInsert “None specified”

GENERAL PROVISIONS – CLAUSE 66.04 – SCHEDULE PAGE 1 OF 1

25/05/2017

25/05/2017