PBA11/0077 Development Application - part 2 - IDAS Forms & Covering letter

Application Details - IDAS form I
(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 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.)


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


Name/s (individual or company name in full)                               t(Z             oCK


For companies, contact name                                         A N o r es        f>o c K A-ec t4 i r c-- (ZE

Postal address                                                      eo 't?::. oX         21 z2_ t\)OO l4 h'kpS
Contact phone number                                                c           S      Ssd1
Mobile number (non-mandatory)                                       0(12             W- (g6
Fax number (non-mandatory)


e-mail address (non-mandatory)                                            dcarck P oe vS-le` t , Cote) , et tA-


1. What is the nature of development proposed? (tick all applicable boxes)


q    material change of use of premises

q    building work

     operational work
                                                                         Develop
                                                                                       Ment Counter
     reconfiguring a lot
                                                                                     2 5 OCT 2011

                                                                                    Tewantin


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