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OPW13/0874 Application for permit to damage vegetation 6 Flooded Gum Place

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                                                                              Department of State
                                                                                                           Devel~e~nf~a~~e~n:Jl~hg                                               _




            IDAS form 1-Application detail
            (Sustainable Planning Act 2009 version 3.0 effective 1 July 2013)


            This form must be used for ALL development applications.
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                                                                                                                                  5 NOV 2013             .’\1;’;..
            You MUST complete ALL questions that are stated to be a mandator                   req~lre’f.n~nt
                                                                                                       "
                                                                                                                          unless otherwise     id’enV*~~              on   his
            form.
                                                                                                                              Tewantln          .......




            For all development applications, you must:

            .
                  complete this form (IDASform 1-Application details)
                  complete any other forms relevant to your application
                  provide any mandatory supporting information identified on the forms as being required
                  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 Planning Act 2009
            Planning Regulation 2009.

            This form and any other IDAS form relevant to your application must be used for development    apRi.        ~relating to                .




            strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport lard under the
            Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned. take it to mean land
            use plan for the strategic port land, Brisbane core port land or airport land.



            PLEASE NOTE: This form is not required to accompany requests for compliance assessment.


            This form can also be completed online using MyDAS at www.dsdip.gld.gov.au/MyDAS



\          I Mandatory requirements
            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 of this qpplicatiQn will e issued
            to tho dp llOtlnt.)


            Name/s (individual or company name in full)
                                                                        I Ray White Cooroy                                                                                 K
            For companies, contact name                                     Jody-Iee Law
                                                                                                                          -
                                                                                                                                                             trfi:h
                                                                                                                      I

            Postal address                                                  16b Maple Street                          t!10S,1,$:J         R’   ..


                                                                                                                                               -
                                                                                                                                                         1’0. r
                                                                                                                                                                           ~-

                                                                            Suburb     Cooroy
                                                                            State      OLD                                        I Post ode            14563
                                                                            Country    Australia


            Contact phone number                                        I 075447 7866
            Mobile number (non-mandatory requirement)


            Fax number (non-mandatory requirement)
                                                                        I   0754476499




       Great state. Great opportunity.
            -
                                                                                                                                                               Queensland
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