Development Application IDAS Forms 1 & 6 permit to damage vegetation - OPW12/0589

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          Application details-IDAS form 1
          (SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)


          You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all necessary
           information and documentation w                                                              result in your application not being a properly made application.


           For all development applications, you must:

            .
                           complete this form (Application details-/DAS form 1)
                           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 PlanningAct 2009 or the Sustainable Pfanning

           Regulation 2009.


           This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au



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            Mobile number (non-mandatory)                                                                                                               I Olfo 212 q37q
            Fax number (non-mandatory)


            e-mail address (non-mandatory)

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| | | Integrated Development Assessment System form

Application details—IDAS form 1

(Sustainable Planning Act zoog version 1.0 effective 18 December 2009)

You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all 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—/DAS form 1)
« 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 or 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 onall 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.)

 

 

Name/s (individual or company name in full) John Thoma & Raye lehuia Houlé#

 

 

For companies, contact name

 

 

Postal address 23 BURGESS STREET

 

: Akinivalt NSW 2350

 

 

Contact phone number . (02) G7 TI 887

 

 

Mobile number (non-mandatory) O4D 942. GtT4

 

 

Fax number (non-mandatory)

 

 

 

e-mail address (non-mandatory) Sk heoughy

 

 

@ higpond nek. Ju

 

 

Government

partment of Infrastructure and Planning En eS e Ce