Development Application forms 1, 23 & 28, Covering Letter · OPW12/0139

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                                                                                                                                                                                                                                                            B JUN 101Z
  Application details-IDAS for                                                                                                                                                                                         1
  (SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)                                                                                                                                                                              Nambc"-
  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.
  Attach extra pages if there is insufficient space on this form.


  All terms used on this form have the meaning given in the Sustainable PlanningAct 2009or the 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 t.he owner of
  the land. The applicant is responsible for ensuring the information provided on alllDAS 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)                                                                                                              NooSft                              ~J?                                  p-ej L..-rD
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  Contact phone number                                                                                                                                    04- \2-3~                                                  CZ<6,s-

  Mobile number (non-mandatory)                                                                                                                         ~$                                {U()v


  Fax number (non-mandatory)



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  e-mail address (non-mandatory)

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