Pre Request Response Form (Deck) 132003.221152.7

                                                                                                   Pre-Request Response Application


                                                                                                                                   Planning Act 2016
ALL questions MUST be completed unless the form indicates otherwise.
This form must be submitted to Council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.
All terms used on the form have the meaning given in the Planning Act 2016 or the Planning Regulation 2017.

1. Details of person making the request
Full name – individual or company                        Mr Greg Woolley
Contact Name – for company                             C/ Max Bartho
Postal address                           Po Box 670
Suburb                                   Coolum Beach                                 State       Qld                    Postcode          4573
Business phone 54462185                             A/H phone                                           Mobile 0412710855
Email address          [email protected]                                                          Fax

2. Details of existing approval
Type of approval (please tick ALL applicable categories)                      Which entity issued approval?
    Development Permit                                                           Council
    Preliminary Approval                                                         Planning & Environment Court
    Material Change of Use                                                       Minister (under part 11, division 2)
    Reconfiguring a Lot                                                          Other entity – please specify
    Operational Works
    Building Works
    Plumbing or Drainage Works
    Environmentally Relevant Activity
Application number/council reference                  23643 DA                                                       Date issued        12.08.2004
Is the approval for a mobile and temporary ERA?                                                   No                     Yes – complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating



3. Nature of proposed change/s (please tick ALL applicable categories)
To change the development approval issued by:                                 To change the conditions issued by;
    Planning & Environment Court                                                 Planning & Environment Court
    Minister                                                                     Council (as a Concurrence agency)
    Other entity – please specify:                                               Minister
                                                                                  Concurrence Agency – please specify:
                                                                                  Other entity – please specify:
Please attach documentation outlining the detail of and the reasons and justification for the requested change/s.




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this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your personal information is only accessed by
persons authorised to do so. Your personal information is dealt with in accordance with council’s privacy policy.


www.noosa.qld.gov.au                        [email protected]                       T 07 5329 6500
PO Box 141 Tewantin Qld 4565                                                            ABN 97 969 214 121

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