OPW14/0010 - Vehicle Crossover application -

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                                                                        Department of State Development,   Infrastructure   and Planning




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


  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 I-Applicalion             delails)
  •         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
  Pianning 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.

  This form can also be completed               online using MyDAS at www.dsdip.gtd.gov.auiMyDAS

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)

  For companies. contact name

  Postal address




                                                                    Suburb
                                                                    State                                   Postcode
                                                                    Country

  Contact phone number                                            I 04 l\ Z-~(" S'e s--                                                     I
  Mobile number (non-mandatory requirement)        1_.,b~~_4=~~v~I/~e..-=-         1
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  Fax number (non-mandatory requirement)


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                                                                                                                               Queensland
                                                                                                                               Government