Change to Existing Approval - OPW11/0116.01

.1..




                ODD
       2. What alre 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          OpvJ II JOIl fa             c2Q. II. .2011              DERtv\          I DEED\ / MSQ.
              permit

       0 Preliminary
              approval


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


       gr No
       o 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

              o street address/lot     on the   plan

              l2S 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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                       2                                                                 Request to change an existing approval template
                                                                                                                 Version 1.1 March 2010