09/1490 - Request to change existing approval & drawings [As Published] · 132009.1490.02

~ INTEGRATED PLANNING ACT 1997

   

XS Form 2 Development Application

97 Request to change an

~~ Form 2, Version 4.1,3 March 2008

   

existing approval

Details of person making the request

1. Who is making the request?

Company or organisation name (If applicable)

 

individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)

Title} mga {Firstname

 

 

 

 

 

Pepe) HUW AVANT PRL UTc

 

 

PETS

 

 

 

 

Last

name WU

 

 

 

 

Postal address] ?.0, Box 40°77 Nicos

JAAD $

Mw. 4367)

 

 

Contact telephonenumber |O? GaGGagty

 

 

Facsimilenumber |CX) S4SOQ, 4677

 

 

 

| Details of the existing approval

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

e-mail address

Mobile phone number

 

O402 914496

 

 

peter @ petestmi i avcnitedck ¢ cw.

 

 

 

 

 

 

 

segs , Assessment manager

Type of approval Identification number Date issued (it request not made to the assessment manager)
M1 Development Permit ‘
[CJ Preliminary Approval 2004 | \440 4/12) 04 CILEN) CaNpowt)

 

 

 

- Identification of the premises

3. Can any part of the premises be identified by a street address or lot on plan description?

LJ No — Answer Q3(a)

3(a} Does the application only involve a mobile and temporary environmentally relevant activity (ERA)?

No - Go to Q4

Table A

“7 Yes - Complete Table A Stating the nafure of the mobile and temporary ERA and each focal
government area to which the approval applies. Then go to Q6.

 

Nature of mobile and temporary ERA

Name of each local government

 

 

 

 

 

[-}Yes - Complete Table B and Q3(b)

 

 

 

Tabie B
Street address Lot on plan description Local goverment area (e.g
Unit Street , Post Plan type and Logan, Caims)
No. No. Street Name and official suburb/ocality name Code Lot No. Plan Number
1. 182 NoSA CfA NA perive AS&) Bo | AT? SUN SKING
Ee (oT02ZS | ceasr,

 

 

 

 

 

 

 

 

 

 

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