51991.1566.01 Change to Existing Approval, Noosa Parade Medical Centre (TPC2404)

                                                                            ~
        To change the development                                                                 To change the development                                                                  To extend the relevant period
        approval                                                                                  conditions                                                                                  before lapsing
.


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




    Unit No.                                                       Street No
        -- --                              -      -----



                               lA-r--
j Suburb                   rV$$~ 0t..                                                                                                                                                                                                          ii-Sb6’--
    Lot no.                                                        Plan type & plan no.


~__Q________________~___ ~_~___\t3_S- d______________________                                                                                                                                                    _________            _              ___________        _
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                                                                                                                                                                                                                                                                      ----’



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,                                                              ,                                                                                                                                                                                                                     .




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~----_--.-                           .__   __.__...._____,         _________         _   __.___..____...____________________.___________._                                                                                 __________.___.._
                                                                                                                                                                                                                                                         _._____.___..__......J


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                                                       _____~______                                         _
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             _.__              ______._         _.__
                                                                                 _       _______                ___                  __   _.________________________                                                       __________                  __   __   ____
_______




    5. Concurrance Agencies

: Was there one or                              more concurrence                 agencies involved In the onginal approval?
                                                                                                                                                                                       ~NO                                                                                           I
                                                                                                                                                                                                                                                                      ---       -




                                                                                                                                                                                                                                                                                    i
:                                                                  ------   ------       ---   ------.-----..-----.---------------------
                                                                                                                                                                                       :0         Ye-;’p---;ovide detai~ be-’~-’;;---
                                                                                                                                                                            -------------.----_------------                                      ---_.                ._.   -’

r-----------------------                                                                                                                                                                                                                                                            -:

; 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                                                                                                                                                                      Date copy given


                                                                                                                                                                                                                                                                                _
                                                                                                                                                                                                                                                                                    J

                                                                                                                                                                                                                                                                                     i
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    6. Pre-request response notice

i Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
                                                                                                                                                                                                                                                                                    J
t----.----------
                                                       -----       ----------   ---      ------------------------------------                                                                         --------                        -   -    ---                          __




    o No                                                                                                            10 Yes                                                                                                                .




,_____._________________________.___________                                              ____   ___.   _________
                                                                                                                    _L._______________._____.                            ___.._______.______        __,,_____        _____            ___        _____




; If yes, please attach a copy of the notice.
L_______                  ___        __._________.______________                                   ..__.___..____    -----.   ----        -__’   .-.-_   _   ___   __   -___.__.____        __.__._____.   --.   __..___    .-_   -   ____    __._   -___




    7. Owner’s consent
I
I
    Is the owner’s consent required for this request?                                                                   10 No.
                                                                                                                        ,~%---                       -----------------                            ---------------------.._----------                                  ---




                                                                                                              ______~_:~ c.omp~e_te e~~!!_r Table A                                                    or
                                                                                                                                                                                                                  Tab_!e_ ~ ~e!ow
    Note   -
                 If more than one owner of the land all owners’ details are required


                                                                                                                                     r--


                                                                                                                                          Date
,
                                                                                                                                     i
: Owner’s name/s
                                                                                                                                          Table A             -
                                                                                                                                                                   owner’s consent provided on form
                                                                                                                                                                                   i
  I/We, the above-mentioned owner/s of the land, consent                                                                                                                           ,.
                                                                                                                                     ’Owner’s name/s
  to the making of this request.
I
                          --     -          -                      .-
      --     -   --   -




                                                                                                                                     i 0The
                                                                                                                                                         owner’s written consent is attached.
    Signature/s




    2 of 4            2011/12 Regional Strategy and Planning Request to Change Existing Approval andlor Extension to Relevant Period FM401