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14623 DA - Change a development approval [As Published] · 131998.981605.2
L_I '2? What are the details of the existing approval sought to be changed? Type of approval --- | Identification number | Date decision notice or negotiated decision notice Name of entity that issued the approval or / imposed the condition sought to be changed . ul . a issued : Development - 1G 23 Da Lack qag Nose | Sire, Coane permit : ue Lt : | Preliminary approval 3. Is the approval for'a mobile and temporary environmentally relevant activity (ERA)? Ta No LC] “Yes—complete table A and then go to question 5 Table A—name of each local government area in which the mobile and temporary-ERA is proposed to operate/ is operating 4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row) premises street address/lot on the plan water e.g, jetty, pontoon) Table B—street address /lot for the premises or street address/lot on plan for the le land adjoining or adjacent to the | street address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in in Local government area Street address Lot on plan description Unit | Street | Street name and official suburb/ | Post- Lot no. Plan type (e.g. Logan, Cairns) no. no. locality name code and plan no. Tee, s ast | Gmete cree. ; ash | = eee Noosaville, ° 199 474 ' 124476 2. 184476 Request to change an existing approval template Version 1.1 March 2010
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