05/1189 - Change to Development Approval [As Published] · 132005.1189.03

Form 2, Version 4.1, 3 March 2008

   

   

 

 

Request to change
existing approva

Details of person making the request

    
   

 

1. Whois making the request?

 

{pass
Company or organisation name (if applicable) \w \ DEW ave R WVESTIK eEny 5 7 wo

Contact person (if there is more then one applicant, provide additional applicant details on an attachment to this form)

 

 

 

  

 

 

 

 

 

 

 

 

Title MR First name Gokoow rast CLEMENTS
Postal address Co Box SX WaooctVdoKe. DE Aro WSs x

 

 

Contact telephone number | S + So \ V8 RB Mobile phone number] O( O2 VAY UE]
Facsimile number S4So 10 FU e-mail address ice @ colby CoM aw
—_

Details of the existing approval

 

 

 

 

 

 

 

 

 

2. What are the details of the approval sought to be changed?

 

ea: A Assessment manager
Type of approval Identification number Date issued (ifrequest not made {o the assessment manager)

 

MW Development Permit : .
oot oSa2z° 3 T \
1 Preliminary Approval 2 8 | 124 [8|o7 . STEwAar MAGILL

 

 

 

 

 

 

Identification of the premises

3. Can any part of the premises be identified by a street address or lot on plan description?
[ealsNo = Answer Q3(a)

3(a) Does the application only involve a mobile and temporary environmentally relevant activity (ERA)?
[DJ No - Goto a4 (2 Yes - Complete Table A stating the nature of the mobile and temporary ERA and each local
government area to which the approval applies. Then go to Q6.

 

Table A Nature of mobile and temporary ERA Name of each local government

 

 

 

 

 

[A Yes - Complete Table B and 03(b)

 

 

 

Table B
Street address Lot on plan description Local government area (eg
eau sveet Street Name and official suburb/locality name ee Lot No. al ype ond Logan, Cairns)
1. 201 | Gymtié VCE  Nowayiwre
<NR Views SY. ¥se6] 6 | SP IMT

 

 

 

 

 

 

 

 

 

 

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