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Development application part 1 of 2 - IDAS Forms 1, 28 & 6, Covering Letter & DERM Letter Regarding Lease 222 Gympie Terrace, Noosaville · OPW10/2110

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Application details—IDAS form 1

(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—/DAS 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.

4
All térms used on this form have the meaning given in the Sustainable Planning Act 2009 or 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 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) Woot Eareeteses Pry “ry . 6 foar Led
For companies, contact name k (lon Gaued aa
Postal address 222 Cc we Te. nee Syohataess

Ving OLD 4S66

 

Contact phone number | S4HATSI3 ihe

se On mn

Mobile number (non-mandatory) O4 \ g 10% Sus . fir oA

if Np ns ale 0
7 es <
I ~*~

      
    
 

 

Fax number (non-mandatory)

e-mail addreBeveRsgivent Counter
22 SEP 2010

 

 

 

 

Tewantin

 

DEL aC UTS Cr 4 Paes

ie

 
 

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