[INSERT PLANNING SCHEME NAME] PLANNING SCHEME SCHEDULE [NUMBER] TO CLAUSE 45.10 INFRASTRUCTURE CONTRIBUTIONS PLAN OVERLAY Shown on the planning scheme map as ICPO[NUMBER]. INSERT NAME OF INFRASTRUCTURE CONTRIBUTIONS PLAN [YEAR] 1.0 Permit requirement If no permit requirement is specified insert “None specified” 2.0 Standard levy Class of development Infrastructure category Levy payable Insert class of development or “None specified” Insert infrastructure category or “None specified” Insert levy amount per unit measurement or “None specified” Total standard levy payable Insert total levy amount per unit measurement or “None specified” 3.0 Supplementary levy Class of development Infrastructure category Levy payable Insert class of development or “None specified” Insert infrastructure category or “None specified” Insert levy amount per unit measurement Total supplementary levy payable Insert levy amount per unit measurement or “None specified’ 4.0 Method and timing of indexation – Standard levy Infrastructure category Indexation method Timing Insert infrastructure category or “None specified” Insert name of index or “None specified” Insert timing or “None specified” 5.0 Method and timing of indexation – Supplementary levy Infrastructure category Indexation method Timing Insert infrastructure Insert name of index Insert timing or “None OVERLAYS – CLAUSE 45.10 – SCHEDULE [NUMBER] PAGE 1 OF 2 25/05/201 7 25/05/201 7 25/05/201 7 25/05/201 7 25/05/201 7 25/05/201 7