Request to Change Existing Approval Form

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

To change the development kl To change 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. Street No 56 | Street Seaview Terrace
Suburb Sunshine Beach |State Qld | Postcode
Lot no. Plan type & plan no.

Lot 64 |__ RP 81810

 

5. Concurrence Agencies

 

| Was there one or more concurrence agencies involved in the original approval? i No
|O Yes-provide details below

| Note — Under 372 of the Sustainable Planning Act 2009 the person making the request is required to give a ‘copy of this request to all
| concurrence agencies.

Corel aCe Aiea Date copy given

NA

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
No oo }C Yes /

If yes, please attach a copy of the notice.

 

remel ame lii rahe
Is the owner's consent required for this request? ki No

| O 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

 

Table B — owner’s consent provided on form

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

 

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

Signature/s

 

 

| Date |
| |

Page 2 of 4