OPW14/0197.01 Change existing approval

3. Nature of request (please tick ALL applicable             categories)
~     To change the development
      approval
                                                  10   To change the development
                                                       conditions
                                                                                                  10    To extend the relevant period
                                                                                                        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                    Street: Sea Eagle Drive & Beckmans Road
Suburb: Noosaville                                                            State: Old                          Postcode:   4566
Lot no.                       I Plan type & plan no.
          7                              RP 80412 & Lot 800 SP 251599




5. Concurrence     Agencies
Was there one or more concurrence agencies involved in the original approval?                          ~~=x::-N:':O=-                           -j
                                                                                                       o 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?
~No                                                                10 Yes
If yes, please attach a copy of the notice.


7. Owner's    consent
Is the owner's consent required for this request?                     ~No
                                                                      o Yes- complete either Table A or Table B below
Note - If more than one owner of the land all owners' details are required
                                                         ,             =-                  =f?t




Table A - owner's       consent     provided   on form                      Table B - owner's          consent   provided   on form

Owner's namels                                                              Owner's namels

INVe, the above-mentioned ownerls of the land, consent                      o The owner's written consent is attached.
to the making of this request.

Signaturels


Date




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