ADAMS+SPARKES MCU Permissible Change Request (David Low Way) 160105 · MCU13/0251

Request to change an existing approval template
(Sustainable Planning Act 2009 version 1.1 effective March 2010)

This template may be used for giving a written notice asking the responsible entity to make a permissible
change to a development approval under section 369 of the Sustainable Planning Act 2009 (SPA). It should
be noted that if the responsible entity for the request has a form for the request, the request must made
using that form.

This template must be lodged with the following entity (the responsible entity) as applicable:
    if the change is to a condition imposed by a Minister under chapter 6, part 11, division 1 of SPA the
     template must be lodged with the Minister that imposed the condition
    if the approval was given by a Minister under chapter 6, part 11, division 2 of SPA the template must
     be lodged with the Minister that gave the approval
    if the change is to a condition of the approval imposed by a concurrence agency the template must be
     lodged with the concurrence agency
    if the approval was given by the Planning and Environment Court the template must be lodged with the
     Planning and Environment Court
    in all other cases the template must be lodged with the assessment manager for the original development
     application.

Attach extra pages if there is insufficient space on this template. Terms used in this template having the
meaning given in the Sustainable Planning Act 2009.

1. Who is making the request?


Name/s (individual or company name in full)                        Thomco (No.2087) Pty Ltd c/ ADAMS + SPARKES

For companies, contact name                                        Cameron Adams

Postal address                                                     PO Box 1000
                                                                   BUDDINA QLD 4575

Contact phone number                                               (07) 5313 7705

Mobile number (non-mandatory)

Fax number (non-mandatory)

e-mail address (non-mandatory)                                     ashleigh
                                                                      astpd.com.au