13022017111225-0001 · 132004.4078.08

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

X To change the development approval | (1 To change the development | (1 To extend the relevant period

conditions before lapsing

Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension. REFER TO ATTATCHED

 

 

4. Location of the premises

 

Unit No. ' Street No 61 | Hastings Street
Suburb NOOSA HEADS State QLD

 

Postcode 4567

 

LOT 3 CP 862568

 

 

 

 

 

 

5. Concurrence Agencies

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Was there one or more concurrence agencies involved in the original approval? X No

 

C] 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 ; @ pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
C1 No lo Yes

 

If yes, please attach a copy of the notice. ee Oo

Is the owner's consent required for this request? | No

 

ee [x Yes— complete either Table A or Table B below
Note — If more than one owner of the land all owners’ details are required

 

 
    

     

   

Goonau

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IWe, the above-mentioned owner/s of the land, consent O The owner's wri

to the making of this request. of

Signature/s ae a VoO—

DEnMhS WALLACE - PROPERTY ADVISOR.

Date 3, 2. VF

Noosa.

Owner's name/s ‘owners name/s i ce

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itten consent is attached.

 

 

 

 

 

 

 

 

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