[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 referral or Insert “None specified” Insert the kind of application subject to the referral or Insert “None specified” Insert Referral authority name or Insert “None specified” Insert Referral authority type (Determining authority or Recommending authority) or Insert “None specified” GENERAL PROVISIONS – CLAUSE 66.04 – SCHEDULE PAGE 1 OF 1 25/05/2017 25/05/20 17