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