NC request to change form signed · MCU13/0093

   
 

3. Nature of request (please tick ALL applicable categories)

ly To change the development | O To change the development O Toextend the relevant period
__ approval |___conditions __before lapsing

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| Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.

 
 

4. Location of the premises
UnitNo. 2 StreetNo 50
Suburb Noosa Heads

  
 
 
 

 

2 | SP108800

 

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i
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[Dl Yes-provide details below

Note - Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all _
concurrence agencies.

Concurrence Agency re copy given
i

 

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
No |DYes_
If yes, please attach a copy of the notice.

 

vem ey ie melted
Is the owner’s consent required for this request? O No : |

1

‘MYes- complete either Table A or Table B below _

 

Note — If more than one owner of the land all owners’ details are required

  

Arley ea us onl Tce

sent ecu Rec
Ken Morrison (Qld) Pty Ltd

        

   

Owner's name/s Owner's name/s

   

 

 

| We, the above-mentioned owner/s of the land, consent o The owner's written consent is attached.

| to the making of this request.
| v_! — —~
Signature 7 ©

Date RN, |

 

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