This form must be provided with any development application that could be eligible for a remission under the Planning and Development (Remission of Lease Variation Charges – Economic Stimulus and Sustainability) Determination 2016 (No 1)
(DI 2016-28) made under sections 278 and 278E of the Planning and Development Act 2007.  
An applicant is required to indicate whether or not they are seeking a remission under DI 2016-28.	

Lease/Site Details Please Print

Block/s	
		Section			Suburb		
		
District		Street Address	

Development Application status:		Existing Development Application number:	
	INITIAL SUBMISSION AND NO EXISTING APPLICATION			
				
	PRE-LODGEMENT (FEES NOT YET PAID)		Was the application approved prior to 7 March 2016?	
	LODGED (FEES PAID AND UNDER ASSESSMENT		•		YES – Your application does not meet the criteria for this remission, or	
	DEVELOPMENT CONDITIONALLY APPROVED
•	LVC NOT YET DETERMINED
•	LVC DETERMINED		•	

	YES – If your application was approved between 6 March 2014 and 6 March 2016, your application may meet the criteria for the nominating remission (DI 2014-48 available in Repealed DI’s on the Legislation Register) and approved form AF2014-137, or	
			•		NO – Your application may meet the criteria for this remission, please complete this form	

Are you seeking a remission under DI 2016-28? 	and 	Is your DA eligible under section 3 of DI 2016-28?	

If you answer NO to these questions, please progress to the lessee and applicant declaration on page 2
	
  REMISSION APPLICATION	YES		NO		MEETS CRITERIA	YES		NO		

To be eligible for remission under DI2016-28 your development application must include a lease variation that attracts Lease Variation Charge (LVC) calculated in accordance with s277 of the Planning and Development Act 2007 AND relates to the approval of development of a building (i.e. design and siting) where the lease variation is necessary to allow the development of the building.  	

IDENTIFICATION OF PROPOSED CRITERIA FOR REMISSION 	

I/we hereby certify that the development proposed will meet following criteria:
Please tick relevant boxes
•		ECONOMIC STIMULUS – where an application is lodged for a lease variation AND relates to development of a building where the variation of the lease is necessary to allow the development of the building, 25% of the Added Value calculated by using the formula (V1 – V2) x25% may be remitted.	
One or more of the following remissions can be packaged together to result in a maximum 25% remission of the lease variation charge 
((V1 – V2) x75% of the added value) (refer to section 10 of DI 2016-28).	

	A BUILDING ACHIEVING AN AVERAGE  GREEN STAR RATING OF 5 for a possible 10% remission		A BUILDING ACHIEVING AN AVERAGE  GREEN STAR RATING OF 6 for a possible 25% remission	
	A BUILDING ACHIEVING AN AVERAGE  NATHERS RATING OF 6.5 OR 7 for a possible 10% remission 		A BUILDING ACHIEVING AN AVERAGE NATHERS RATING OF 7.5 for a possible 25% remission	
	A DEVELOPMENT WHERE 50% OR MORE (BUT NOT 100%) OF DWELLINGS MEET THE AUSTRALIAN STANDARD FOR ADAPTABLE HOUSING AS 4299-1995 for a possible 10% remission		A DEVELOPMENT WHERE 100% OF DWELLINGS MEET THE AUSTRALIAN STANDARD FOR ADAPTABLE HOUSING AS 4299-1995 for a possible 25% remission	
Further Information

Planning and Development (Remission of Lease Variation Charges – Economic Stimulus and Sustainability) Determination 2016 (No 1) (DI 2016-28) applies only to a LVC calculated in accordance with Section 277 of the Planning and Development Act 2007.  

The remission amount applied to the determined LVC will be calculated based on the criteria nominated by the applicant in this form, and by evidence provided by a licensed energy assessor on the ratings achieved for the individual dwellings and the overall dwelling average.

This remission is only valid for development applications that meet the criteria of section 3 of DI 2016‑28.  The DA is approved on or after 6 March 2016 and the approval also relates to the development of a building on the land under the lease and that satisfies the relevant criteria at sections 4 (b), 6 (a) (b) and section 8 (a) (b) (c) as nominated by the applicant.  

DI2016-28 expires on 6 March 2018 and an eligible DA must be approved by 6 March 2018 to be able to gain a remission under the instrument.

Applicant and Lessee Declaration: please print	
Applicant’s Name
		Applicant’s Signature	Date	
Lessee’s Name
		Lessee’s Signature	Date	
Lessee’s Name
		Lessee’s Signature	Date	
In signing this application for remission on LVC under DI 2016-28, I/we understand and accept the terms of the remission.  
This form must be signed by all the Crown lessees prior to submission.

DEFINITIONS:

Green Star rating - Means a rating under the national environmental rating system for buildings called the “Green Star” rating system developed by the Green Building Council of Australia.  www.gbca.org.au 

NatHERS rating - Means a rating under the Nationwide House Energy Rating Scheme (NatHERS) administered through the Ministerial Council of Energy.  www.nathers.gov.au 

Australian Standard for Adaptable Housing - AS 4299-1995 can be purchased at www.standards.org.au

Privacy Notice
The personal information on this form is being collected to enable processing of your application. Collection of personal information is authorised by Chapters 7, 8 and 9 of the Planning and Development Act 2007. The information that you provide may be disclosed to the ACT Revenue Office, the Australian Valuation Office and the Registrar-General’s Office. The information may be accessed by other government agencies, ACTEWAGL, ACTEW Corporation and other commercial organisations interested in development and building information. 
Contact Details:
Environment, Planning and Sustainable Development Directorate
Customer Service Centre
GPO Box 158, Canberra City 2601
16 Challis Street, Dickson ACT 2602
Business Hours: 8.30am to 4.30pm weekdays (excluding Public Holidays)
Phone: (02) 6207 1923
Email: epdcustomerservices@act.gov.au	Website: www.planning.act.gov.au