Development Application part 1 of 2 Application Forms OPW13/0004

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   111111              Integrated Development Assessment System form                                                           -




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


You MUST complete All questions unless the form indicates
                                                                           hE!rwise;;neompletQ..fo.m1                       all necessary
information and documentation will result in
                                                   your application        ot b--ei.ng
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For all development applications,
                                      you must:

      complete this form (Application details-IDAS form 1)                                  o 2 JAN 2013
.
     complete any other forms relevant to your application
.
      provide any mandatory supporting information identifie~ on the forms                 aT~}~J:rl..~ to accompan your
     application.                                                      L




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)
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For companies, contact name
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Postal address

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Contact phone number
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Mobile number (non-mandatory)
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Fax number (non-mandatory)
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e-mail address (non-mandatory)
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 Department of Infrastructure and Planning                                 Qplan                                         Queensland
                                                                                                             ,’..1~~"Government
                                                                                                                1
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