132008.176.01 Reqeust to Extend to Currency Period 7 Serenity Cl NOOSA HEADS

      SunshlneCoast.                           2011/12 Regional Strategy and Planning
    J 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.


 1. Details of'.person making the request
 Full name - individual or company
                                 C ^ Se'i_/c-CCS (.:OV            carb
 Contact Name -for company C./ A(a_(  -e,            s'i4^^r-1"^U  Ge^^r^s'c-^l^f                                      y
 Postal address Pct 43 c,         Ce,
  Suburb        x o^^^S^4.- fj%c? Gt c s                                      State                        [Postcode
' Business phone S     5 5 s ;^ S- A/H phone                                                I Mobile
i Email address                                                                             Fax


2. Details of existing approval
Type of approval (please tick ALL applicable categories)              Which entity issued approval?
    Development Permit                                                q Sunshine Coast Council
q Preliminary Approval                                                q Other entity - please specify
q Compliance Permit
'Material Change of Use
q Reconfiguring a Lot                                                                 Development Counter
         Operational Works
         Building Works                                                                                1 FEB 201Z
         Plumbing or Drainage Works
         Compliance Certificate
         Environmentally Relevant Activity
Application number/council reference                                                                    Date issued
Is the approval for a mobile and temporary ERA?     1 /                  Era"' No                       q 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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authorised to collect this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your
personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with
council's privacy policy.


www.sunshInecoastgkLgov.au I mall sunshinecoaat.gld_gov.au I T 07 5475 7272 F 07 5475 7277
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