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Development Application - Part 1 of 2 - Covering Letter, IDAS Forms 1, 6 & 28, Title Search & Compliance Certificate 15 · OPW12/0511

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                   1111111          Integrated Development Assessment System form                                    :_   ,
                                                                                                                               .




                                                                                                                                   ,




             Application details-IDAS form 1
             (SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)


             You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
                                                                                                                          necessary
             information and documentation will result in your application not being a properly made application.


             For all development applications, you must:

                    complete this form (Application details-IDAS form 1)
                    complete any other forms relevant to your application
                    provide any mandatory supporting information identified on the forms as being required to accompany your
                    application.
         Attach extra pages if there is insufficient space on this form.


         All terms used on this form have the meaning given in the Sustainable PlanningAct
                                                                                           2009or the Sustainable Planning
             Regulation 2009.


         This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au



         Applicant details (note:the applicant is the person responsible for making the application and need not be the owner of
         the land. The applicant is responsible for ensuring the information provided on alllDAS application forms is correct.
                                                                                                                               Any
         development permit or preliminary approval that may be issued as a consequence of this application will be issued to the
         applicant.)


         Name/s (individual or company name in full)                    .1 Pontoons               oes\~n                               1
         For companies, contact name
                                                                         I Lyn   .


                                                                                                                                       I
         Postal address

                                                                         I   1(0

                                                                             KuY"\c:b
                                                                                     p.....r\D.n ’

                                                                                           Park
                                                                                                 t"

                                                                                                                                       I
         Contact phone number                                                O     -5445 +sb4


         Mobile number (non-mandatory)



         Fax number (non-mandatory)



         e-mail address (non-mandatory)

                                                                                                  QI




                                                                                           Development Counter
                                                                                                       07 NOV 2012

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