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IDAS Forms - OPW14.0226

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Department of State Development, infrastructure and Planning

IDAS form 1—Apoplication details

(Sustainable Planning Act 2009 version 3.¢ affective 1 July 2013)

This form must be used for ALL development apptications.

You MUST complete ALL questions that are stated to be a mandatory requirement untess otherwise identified on this
form.

For all development applications, you must:
* complete this form (DAS form 1—Application detaits)
* 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 (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

PLEASE NOTE: This form is not required to accompany requests for compliance assessment.

This form can also be completed ontine using MyDAS at Www.dsdip.gid.qov.au/MyDAS

| 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 ail IDAS 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.) .

 

 

 

 

 

 

 

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Name/s (individual or company name in full) | Oumnilry C fvb 7; I, ‘bp GOL ft . |
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C For companies, contact name LAnhbrcf Sy Ge. Ley, . * |
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Postal address ~ ©, VIBK v Sl

 

 

 

 

 

subue_| Ale  Ballarar
State Victor | Postcode | 3350

Sowniy | Abt
Contact phone number EOLOP—OFt FOF [0S )S$33/ aS.

Mobile number (non-mandatory requirement) | Oe 7 6 74 FO 7 f
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Fax number (non-mandatory requirement} [(o % ) 5.33/ 2 CG B® .
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Queensland
Government

Great state. Great opportunity.

 

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