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PLANNING AND DEVELOPMENT REGULATIONS 2009 - SCHEDULE 1

1 .         Infringement notice (r. 43(1))

Planning and Development Act 2005 s. 229
Planning and Development Regulations 2009

Infringement notice
Number:

Alleged offender

Family name


Given names


Address


Date of birth


Male/Female

Driver’s licence

No.:                 State/Country:
Type:         Class(es):         Expiry date:

Description of alleged offence

Date


Time


Place


Details 1


Law contravened

Planning and Development Act 2005 s.

Relevant planning document 2


[Tick one box and insert other details]

        Planning scheme

        Planning control area declaration

        Interim development order

Name of scheme/details of declaration or order, and number of any provision contravened —

Modified penalty

The modified penalty for the alleged offence is $

Vehicle details 3

Plate No.


State


Licence expiry date


Vin/Chassis No.


Make


Colour


Body type


Date of notice


Service details

[Tick one box]

This notice was served —
in person by post

Date


Officer issuing notice

Name


Office


Responsible authority


Signature


Notice to alleged offender

It is alleged that you have committed the above offence.
If you want the alleged offence dealt with in court, tick the box below, post this notice to the address below, and do not pay the modified penalty above.
If you do not wish to be prosecuted for the alleged offence in court, pay the modified penalty above within 28 days after the date on which you receive this notice.
To pay, tick the relevant box below and post this notice and any cheque or credit card details for the modified penalty to the address below.
If you want an extension of time to pay the modified penalty, contact the officer named below at the address below.
Paying the modified penalty will not be taken to be an admission for the purposes of any civil or criminal court case.
If you do not pay the modified penalty, you may be prosecuted in court for the alleged offence and, if convicted, you will be liable to a penalty and costs.

Alleged offender’s response

[Tick one box]

To — 4


        I want this alleged offence dealt with by a court.
        I want to pay the modified penalty. A cheque for the modified penalty enclosed.
        I want to pay the modified penalty by using a credit card. The credit card’s details are —

Notes to Form 1 —
1.         The details should say what the alleged offender has done that is a contravention of the law.
2.         Complete this if an offence against s. 218, 220 or 221 of the Act is alleged.
3.         Include vehicle details if alleged offence relates to a vehicle or to a person driving a vehicle.
4.         Insert the name and address of the responsible authority and the officer responsible for dealing with infringement notices.

2 .         Withdrawal of infringement notice (r. 43(2))

Planning and Development Act 2005 s. 231
Planning and Development Regulations 2009

Withdrawal of infringement notice

Alleged offender

Family name


Given names


Address


Infringement notice

Number


Date issued


Description of alleged offence

Date


Time


Place


Details


Law contravened

Planning and Development Act 2005 s.

Date of this notice


Officer issuing this notice

Name


Office


Responsible authority


Signature


Notice to alleged offender

The above infringement notice, which was issued for the above alleged offence, has been withdrawn.

If you have already paid the modified penalty in accordance with the infringement notice, you are entitled to a refund of the money.

To obtain a refund post this notice to — 1

Notes to Form 2 —
1.         Insert the name and address of the responsible authority and the officer responsible for dealing with application for refunds.



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