160715 Webb Rd - Revised Pool Develop Application · 51987.2898.02

A, Location of the premises

Unit No. Street No 21-23 Street Webb Road

Suburb Sunshine Beach State QLD Postcode 4567

 

5. Concurrence Agencies

Was there one or more concurrence agencies involved in the original approval? No
O Yes-provide details below
Note ~ Under 5372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all

 

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
No Yes
If yes, please attach a copy of the notice.

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

M@ Yes— complete either Table A or Table B below
Note ~ If more than one owner of the land all owners’ details are required

 

  
   

anny Wallis
Owner's name/s : Owner's name/s

 

IAVe, the above-mentioned owner/s of the land, consent | O The owner's written consent is attached.
to the making of this request.

Signature/s VS

Dale 43" July 16

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