DF15135_Bell-Allen Holiding P_L_ Request to Change Existing Approval and_Extn to Relevant Period_251016

3. Nature of request (please tick ALL applicable categories)
X    To change the development                X    To change the development               X    To extend the relevant period
     approval                                      conditions                                   before lapsing
Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.


4. Location of the premises
Unit No.                      Street No: 56                 Street; Seaview Terace
Suburb: Sunshine Beach                                                       State: Qld                  Postcode: 4567
Lot no.                       Plan type & plan no.
64                            RP81810




5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval?                   X No
                                                                                                  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
Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
X No                                                               Yes
If yes, please attach a copy of the notice.


7. Owner’s consent
Is the owner’s consent required for this request?                     No
                                                                   X 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                               Table B – owner’s consent provided on form
                                                                                               Bell-Allen Holdings Pty Ltd
Owner’s name/s                                                           Owner’s name/s

I/We, the above-mentioned owner/s of the land, consent                   X The owner’s written consent is attached.
to the making of this request.

Signature/s


Date




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