MCU13.0080.1 Application for change to existing application (inc owner's signature) · MCU13/0080

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

{1 To change the development ‘1 Tochange the development O 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. StreetNo 18 Street Sunseeker Close
Suburb Noosaville State QLD. Postcode 4562
oT .

 

67 RP 842163

5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? Z No

0 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 ‘ Pere aanien :

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
7 No 0 Yes
If yes, please attach a copy of the notice.

7. Owner’s consent

Is the owner's consent required for this request? JANo

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
MERTNO ARAM pry
LTo ATF mMERTNO RAAM TAUST

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

 

Ree eroucaetumeataeic lc Rea cad

 

Owner's name/s Owner's name/s

Sore OF KECToR & SECRETARY

Date \7/ o6/201%

Signature/s

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