Change Existing Approval Application Form - (Retaining Walls) OPW150099

                  19     Trading Post Road
    COOROY                         QLD       4563

1            RP 215922


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4. Location of the premises

UnitNo. __ |StreetNo 19 |Street_ Trading Post Road ee
Suburb COOROY |State QLD Postcode 4563

   
   
 

   
 

  

Plan type & plan no.
1 RP 215922

5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? WINo
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

oe pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
N

lo jo Yes
If yes, please attach a copy of the notice.

 

 

 

 

 

7. Owner’s consent
Is the owner's consent required for this request?

O No
Hox complete either Table A or Table B below

 

 

Note — If more than one owner of the land all owners’ details are required

 

  
   

Gwe es -—_—_—__—_—_—--.-.

Owner's name/s

 

 

 

We, the above-mentioned owner/s of the land, consent 0 The owner's written consent is attached.
to the making of this request.

Signature/s yr , — 7
Foy Merman
S
Date of 3fb

 

 

 

 

 

 

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