How do I execute this instrument approach at Larnaca (LCLK)?
If you're course 200 then you are more than 30 degrees off the initial outbound track of the approach, therefore you should join the hold prior to commencing.

In more practical terms, if you're VMC at any point and your happy with your terrain clearance, then there would be nothing to preclude a request for a straight in, although from experience, LCA can get busy!