Development application part 1 of 2 · OPW11/0371

      nI I               Integrated Development Assessment System form                                            70

 Application details-IDAS form 1
 (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-/OAS form 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 PlanningActzoopor the Sustainable Planning
 Regulation aoog.


I This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au                                               I

 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)

 For companies, contact name

 Postal address                                                                    ST            PO BCJr ZZ 10
                                                                                                    1,Srt H QS - g {c-0
 Contact phone number
                                                                                                                4;97 -

 Mobile number (non-mandatory)
                                                                                                                              7
 Fax number (non-mandatory)


 e-mail address (non-mandatory)

                                                                Ca)