10/0334 - Detached House [As Published] · 132010.334

 

 

 

 

 

 

 

 

 

 

Application details—IDAS forniyzorment Counter

(Sustainable Planning Act 2009 version 1.0 effective 28 December 2009)

You MUST complete ALL questions unless the form indicates otherwise.

 

- * MAR 2010

complete Beageyiortpeywith

information and documentation will result in your application not being a properly made application.

 

essary

 

 

For all development applications, you must:
e complete this form (Application details—I/DAS form 1)
e 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 Planning Act 2009 or 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 all IDAS application forms is correct. Any
development permit or preliminary approval that may be issued as a consequence of this application wilt be issued to the

applicant.)

 

 

 

Name/s (individual or company name in full) Ancnrony / VICK) Le Nanse NY
i! i

 

 

For companies, contact name

 

 

Postal address PO. Box BIS Péasaad

 

Beack QW +4972

 

 

Contact phone number OY(IT4S1 473

 

 

Mobile number (non-mandatory)

 

 

Fax number (non-mandatory)

 

 

e-mail address (non-mandatory) SPAN Cheo OW tawcri et

 

 

@ norm. WM.

 

 

 

PERE Aie ee Oe et al} [Qpian)

 

 

 

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