Application for permit to damage vegetation - OPW13/0572

                                                                     Department of State Development, Infrastructure and Planning    ::::J




     IDAS form 1-Application details
     (Sustainable Planning Act 2009 version 3.0 effective 1 July 2013)


     This form must be used for ALL development applications.



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


     For all development applications, you must:

     .
           complete this form (IDASform 1-Application details)
     .
           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
     strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land under the
     Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it to mean land
     use plan for the strategic port land, Brisbane core port land or airport land.



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


     This form can also be completed online using MyDAS at www.dsdlp.gld.gov.au/MyDAS



    I 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 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 &(U~HT ftptr7lt1m~
     For companies, contact name                                 IHELf"N MdDi:tRf:( ~cCILE:7"AAi Bee...
                                                                                   I

     Postal address                                                  IS-/<g <)OLE?-{rt’i CL.tYS~

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                                                                   Country     -A-<.;r 17lft1-tIJ
     Contact phone number                                        I (01)S7.1:7c+ SJ /7
     Mobile number (non-mandatory requirement)                   I Otktq 2~ ~ oEl?
     Fax number (non-mandatory requirement)                      I


Great state. Great opportunity.
                                                                                                                        Queensland
~                                                                                                                       Government   =:J