SCC permissible change form signed

O Environmentally Relevant Activity

Application number/council reference TPC 2478 and TPC 2888 Date issued 1996

Is the approval for a mobile and temporary ERA? x No O Yes - complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating

 

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

¥ To change the development O 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. 7 Street No 62 Street Hastings Street

Suburb Noosa Heads State Qid Postcode 4567
Lot no. Plan type & plan no.

7 BUP103167

 

5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? ~ No
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?
wv No O Yes

If yes, please attach a copy of the notice.

 

remem R Olle
Is the owner’s consent required for this request? DO No

vYes-— complete either Table A or Table B below
Note — If more than one owner of the land all owners’ details are required

 
 
    

le A — owner's consent provided on form
Owner’s name/s oF Quer / é MWe, the above-mentioned owner/s of the land, consent
20f4 2012/13 Regional bt. and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s

but Any thos Do,
Phy Tohalkad

vo’

RLON