MCU11/0033 Development Application - Part 1 of 2 Cover Letter - IDAS Form 1 and 5 Checklist 1 and Part 2 - 6 Piper St Peregian Beach

Application details-IDAS form i
(Sustainable PlanningAct 2009 version i.o 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-IDASform i)

•     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 PlanningAct2ooporthe 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 will be issued to the
applicant.)


Name/s (individual or company name in full)                    I S3'-^SK+n t CasLSt -70W 1                  ^.q

For companies, contact name

Postal address                                                        2179 G4n,ytL Telrouue
                                                                      tJaoSa^ ^t1          4-^ c1   4-So.
Contact phone number                                                    o4-2S 3?S o'b9
Mobile number (non-mandatory)


Fax number (non-mandatory)

e-mail address (non-mandatory)

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