132007.1022.01 Extension to relevant period

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

Type of approval           Identification number      Date decision notice        Name of entity that issued the approval or
                                                      or negotiated               imposed the condition sought to be changed
                                                      decision notice
                                                      issued

        Development
                                                                                                           C r:c.tii f.-t /
        permit
        Preliminary
q
        approval


3. Is the approval for a mobile and temporary environmentally relevant activity (ERA)?

        No

 11 Yes-complete table A and then go to question 5
Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate/ is operating




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

       q
       v"street address/lot on the plan
       q street address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
         water e.g. jetty, pontoon)

Street address                                                    Lot on plan description              Local government area
                                                                                                       (e.g. Logan, Cairns)
Unit      Street   Street name and official suburb/     Post-     Lot no.        Plan type
no.       no.      locality name                        code                     and plan no.




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                                                                             Reg r_ues,   _ ;n   ge an ^:;JSt'I7'Z.           f t,t
                                                                                                            Version 1.1 March 2010