Development Application part 1 of 2 IDAS Form 1 & 5 MCU11/0178

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. In
necessary information and documentation will result in your application not

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 bei             i.   cA daccompany 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)                   Andrew Malouf

For companies, contact name                                   The Certifier

Postal address                                                Po Box 368 Cleveland QLD 4163


Contact phone number                                          3821 8703


Mobile number (non-mandatory)

Fax number (non-mandatory)

e-mail address (non-mandatory)




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


® material change of use of premises
q     building work
q     operational work
q     reconfiguring a lot