SCC request to change form · MCU13/0095.01

  
   

    
  
 

KM
¥To change the development approval | ( Tochange the development O To extend the relevant period
| conditions before lapsing

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

request (please tick ALL applicable categories)

4. Location of the premises
| Unit No. StreetNo 37 Street _Gobson Road

Suburb Noosaville State Qld Postcode 4567
Lot no. Plan type & plan no.
| Lot 1 __RP802167

 

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1 rns aka staat

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meric iw Cite}

 

| Was there one or more concurrence agencies involved in the original approval? v¥ No

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.

Concurrence Agency Date copy given

 

6. Pre-request response notice

 

PE eceeaia - Oi Yes
yes, please attach a copy of the notice.

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

vem mei’

Is the owner's consent required for this request? O No

 

\ ¥Yes— complete either Table A or Table B below
| Note — If more than one owner of the land all owners’ details are required ;

Table A — owner’s consent provided on form

| | Ralph Rogers Marketing &
Promotion Pty Ltd as Trustee for Date
| Owner's name/s the R & K Rogers Superfund and

_Ralph Rogers ; Be eee ie mee am eed eo Beli)

Owner's name/s

|

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

Oo The owner's written consent is attached.
‘Signature/s | Nes See

20f4 2013/14 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s