Development Application IDAS Forms 1 & 6 - OPW12/0447

   111111              Integrated Development Assessment System form



Application details-IDAS form 1
(SusliIinablePlanningAct 2009 version LO effective 18 December 2009)


You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without aU 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 t)
.     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.


AU 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 the 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 ofthis application will be issued to the
applicant.)

Name/s (individual or company name in full)                      MI4\ Prt..’\._"-~ l’iSo..J

For companies, contact name



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Postal address

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Contact phone number                                                   ’S473<)’lcqR

Mobile number (non-mandatory)                                        OL.\-O~ \ ~ l.\-3k:,~

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Fax number (non-mandatory)



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e-mail address (non-mandatory)

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