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NC Ext forms signed

Attached to the e-mail MCU15/0070.01 Request to change existing approval - 38 Park Crescent, Sunshine Beach.

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4. Location of the premises

Unit No. Street No 38 Street Park Crescent
Suburb Sunshine Beach State Qld Postcode 4567

  
 

598 RP48112

5. Concurrence Agencies

Was there one or more concurrence agencies involved in the original approval? VAN)
0 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.

 

 

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
LYNo O Yes
If yes, please attach a copy of the notice.

7. Owner’s consent

Is the owner's consent required for this request? C1 No
WYes- complete either Table A or Table B below
Note — If more than one owner of the land all owners’ details are required

   
  

 

Ud CbvAes JO (66d
Néa@m Ellen home sed

We, the above-mentioned owner/s of the land, consent C1 The owner's written consent is attached.
to the making of this

Owner's name/s

Owner's name/s

Signatufels

Date 2o.2. Bork,

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