Operational Works Application OPW17/0039

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                                                                                   Department of Infrastructure, Local Government and Planning


     IDAS form 1-Application details
     (Sustainable   Planning Act 2009   version 4.3 effective 5 December 2016)


     This form must be used for ALL development applications.


     You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
     form.

     For all development applications, you must:
     •    complete this form (IDAS form 1-Application   details)
     •    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 Planning Act 2009 (SPA) or the Sustainable
     Planning Regulation 2009.

     This form and any other IDAS form relevant to your application must be used for development applications relating to
     strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land 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.

    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 alilDAS 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.)

     Namels (individual or company name in full)                     I SWJcllA-f-J_'<               _
     For companies, contact name                                     LJ;?NN It=-e' a.. ffA(.2.£6e(L-~---
     Postal address                                                         - 0-                   &'"1 ~


                                                                         Suburb

                                                                         State

                                                                         Country

     Contact phone number                                            I 03 '1360 <OdS\)
     Mobile number (non-mandatory              requirement)
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     Fax number (non-mandatory              requirement)             1                                                      --




                                                                                                               .•          Queensland
                                                                                                                (g' Government