Development Application Part 1 of 2 Application Form MCU12/0047

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Application Details                              -
                                                       IDAS form 1
(Sustainable Planning Act 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.
    All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.

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.)


Please note: If there is more than one applicant, provide additional applicant details by clicking the "Add another
applicant" button below.


Namels (individual or company name in full)                     Jacaranda No 12 Ply Ltd C/- KHA Development Managers


For companies, contact name                                    Iscott Sobey
Postal address                                                 Ipo 6380,Maroochydore
                                                                     Box                        BC QLD 4558


Contact phone number                                           1(07)     5443 2844


Mobile number (non-mandatory)


Fax number (non-mandatory)                                     1(07)     5443 7146


e-mail address (non-mandatory)                                 [email protected]

11. What is the nature of development proposed? (tick all applicable boxes)
C8J         material change of use of premises

D building work
D operational work
D reconfiguring a lot




     Department of Infrastructure and Planning                              QPlan
                                                                                                     ~Queensland
                                                                                                     ~~Government