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08/0256 - Change to Development Approval [As Published] · 142008.256.02

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INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

aN Form 2 Development Application

¥/ Request to change an
existing approval

Details of person making the request

   

       
 

1. Whois making the request?

Z
Company or organisation name (if applicable) Jib OSA, Ne osSg 7 4 ta LP. 2

Individual applicant/Contact person (/f there is more than one applicant, provide additional applicant details on an attachment to this form)

Title First name Lo i rae Ao ze. GE. ae

Postal address | 27 Box Dd PDO Noosa AL ADL ATO 7

Contact telephone number | 97 SH CT ¥ Arg oO Mobile phone number] 7 vd AP42 of

Facsimile number | O FYB £7 DP S| emailaddress Lob. bo $4@ pl am . eee
4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of the existing approval

 

2. What are the details of the approval sought to be changed?

 

Assessment manager
(if request not made fo the assessment manager)

&

Type of approval Identification nupber Date issued L

{2 Development Permit 206f “02 5% o 24, Tee

1 Preliminary Approval

 

t

 

 

 

 

 

 

identification of the premises

 

3. Can any part of the premises be identified by a street address or lot on plan description?
(1 No - Answer Q3(a)
3(a) Does the application only involve a mobile and temporary environmentally relevant activity (ERA)?

No - Goto Q4 1 Yes - Complete Table A stating the nature of the mobile and temporary ERA and each local
government area to which the approval applies. Then go to Q6.

 

Table A Nature of mobile and temporary ERA Name of each local government

 

 

 

 

ves ~ Complete Table 8 and Q3(b)

 

 

Table B
Street address Lot on plan description
Local goverment area (e.g.
Unit Sweet . . Post Plan type and Logan, Cairns)
No. No. Street Name and official suburbfocality name Code Lot No. Plan Number

 

 

Noose Je AE tins Seresareil Lor

c
ea? 3 p0f6|

 

 

 

 

 

 

 

 

 

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