SCC Request to Change Existing app form · 51997.2256.01

[Application numbericouncil reference 11852 TC __ {Date issued 6.11.2007
| Is the approval for a mobile and temporary ERA? YNo OO _Yes — complete below
Insert the name of each focal government area in which the mobile and temporary ERA is Proposed to operate/operating

 

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3. Nature of request (please tick ALL applicable categories)

i ¥ To change the development |) To change the development C1 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

 

UnitNo, | Street No 40 | Street Hastings Street oe
Suburb NoosaHeads —C~S State Qld ‘Postcode 4567
Lot2 | SP108891

 

 

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5. Concurrence Agencies
| Was there one or more concurrence agencies involved in the original approval? ¥ No
_O Yes-provide details below
Note — Under 8372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence agencies. i

   

Concurrence Agency

6. Pre-request response notice

Has a pre-request response been given bya relevant entity (eg. a concurrence agency) for this request?
AN) 7 _— | Yes
iif yes, please attach a copy of the notice.

7, Qwner’s consent

Is the owner's consent required for this request? | ONo | ;
| - 1% Yes— complete either Table A or Table B below
Note ~ If more than one owner of the land all owners’ details are required

 

2 of 4 2012/13 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s