Request for Change to Development Approval 51975.3702.03 (TPC 545)

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                    Coast                                                       2011/12 Regional Strategy and Planning
          ISunshine
           Council Request              to Change Existing Approval and/or Extension to Relevant Period



                                                                                                            Sustainable Planning Act 2009

       ALL questions MUST be completed unless the form indicates otherwise.

       This form must be submitted to Council accompanied by the applicable fee.

       Attach extra pages if there is insufficient space on the form.

       If Council was the Assessment Manager for the existing approval, and the approval was issued by the Court, then:

       (a)a request to change the development approval and/or conditions is made to the Court; and
       (b)a request to extend the relevant period for the approval is made to Council.
       All terms used on the form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning Regulation
       2009.




      Full name   -
                      individual or company

      Contact Name      -
                          for company

      Postal address         ~t)    ~60
      Suburb                 t17\~VH, Of.e:. ~v                                                                  Postcode

      Business phone                                                                               Mobile

      Email address                                                .GCv-\ a\J
                                                                         .
                                                                                                   Fax



      2. Details of existing approval

      Type of approval (please tick ALL applicable categories)            Which entity issued approval?

      ~Development Permit                                                  ~Sunshine Coast Council
      0    Preliminary Approval                                            0    Other entity   please specify
                                                                                               -




      o    Compliance Permit
      ~Material Change of Use (Tow"
      o    Reconfiguring a Lot
                                                   ~{Q~;’\j ~~)
      0    Operational Works
      0    Building Works
      0    Plumbing or Drainage Works
      0    Compliance Certificate
      0    Environmentally Relevant Activity
      Application number/council reference          51’15.~702. (\Vv 515)                                   I Date issued l’b~\~ /2-/\OJ b
      Is the approval for a mobile and temporary ERA?                                    ffNo                0       Yes   -
                                                                                                                               complete below
      Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating




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      council’s privacy policy.



      [email protected] 015415 1272 F 0754757217
      Lockad Bag 12 Sunshine Coalt Mail Cenlnt QId 4580 I ABN 37 878 913913

      CaIoundra oIIice 1 Omrah Avenue Caloundra QId 4551      I IIaroochJdore oIIic:e 11-13OS1raat Maroochydora QId 4558
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