23616 DA - Change to development approval [As Published] · 132003.221132.6

 

DOO

 

Table C—premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
dredging in Moreton Bay)

 

 

 

 

Coordinates Zone Datum Local government
(note: place each set of coordinates in a separate row) reference area (if applicable)
Easting Northing Latitude Longitude

 

CL] GDA94
[_] weseg
C] Other

 

 

 

 

 

 

 

 

"Sibetails’of the proposed <a ¢¢ Ah ee

Amend Conditions 81, 95 and Advice Note 1

 

 

 

 

 

———S ee ee
"evIS owner's consent required for this request? (refer to notes at the end of this form for more information) —_——

[X] No

CT Yes—complete either table D or table E as applicable

 

 

Table D

 

Name of owner of the land

 

|, the above-mentioned owner of the land, consent to the making of this request.

 

Signature of owner of the land

 

Date

 

 

Table E

 

Name of owner of the land

 

 

LE] The owner’s written consent is attached

 

 

3 Request to change an existing approval template
Version 1.1 March 2010