MCU16/0036 Development application - 52 Gevers Rd, Black Mountain

                                                                                    Department of Infrastructure, Local Government and Planning




    IDAS form 1-Application details
    (Sustainable   Planning Act 2009 version 4.2 effective 3 August 2015)


    This form must be used for ALL development applications.


    You MUST complete ALL questions that are stated to be a mandatory r qUi~~                            less otherwiseiden'      d on this
    form.                                                                                                °PfIlent C
                                                                                                                          OUnter
    For all development applications, you must:
    •       complete this form (fDAS form 1-Application             details)                               08 APR 1016
    •       complete any other forms relevant to your application
                                                                                                         TelJlI::.l   .'
    •       provide any mandatory supporting information identified on the f                       'n   requirl!'a-tb cccmpany 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 Planning Act 2009 (SPA) or the Sustainable
    Planning Regulation 2009.

  This form and any other IDAS form relevant to your application must be used for development applications relating to
  strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land under the
I Airport Assets (Restructuring and Disposal) Act 2008, Whenever a planning scheme is mentioned, take it to mean land
I use plan for the strategic port land, Brisbane core port land or airport land.
    PLEASE NOTE: This form is not required to accompany requests for compliance assessment.

I Mandatory requirements
    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 alilDAS 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)                    I Ian and Linda McGillivray
    For companies, contact name

    Postal address                                                  P.O. Box 258




                                                                    Suburb        Cooroy

                                                                    State         Queensland                 I Postcode        14563
                                                                    Country       Australia

    Contact phone number                                           I 0412695445
    Mobile number (non-mandatory             requirement)          I 0412695445
    Fax number (non-mandatory            requirement)