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

  3. Nature of request (please tick ALL applicable categories)
  q To change the development           1 q To change the development                                   To extend the relevant period
      approval                               conditions                                                 before lapsing
  Please attach documentation outlining the detail of and the reasons and justification for the requested change or i
  extension.


  4. Location of the prerpises
                                 Street No .3 -
  Suburb           //OC'>S%-^-      HG:^.5                                          State
 Lot no.                         1PIan type & plan no.




 5. Concurrance;Agencies
 Was there one or more concurrence agencies involved in the original approval?                        q No
                                                                                                      lames-provide details below
 Note - Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
'concurrence agencies.
Concurrence Agency                                                                                   1 Date copy given




6. Pre-request response,notice .
 Has a pre -request response been given by a relevant - entity (e.g. a concurrence agency) for this request?
QNo                                                                 ' q Yes
If yes, please attach a copy of the notice.


7. Owner's consent
Is the owner's consent required for this request?                         i q No
                                                                          El Yes- complete either Table A or Table B below
          T___...........            _.......--- --- -------- ---------          -----------------                    --..^ ._.
Note - If more than one owner of the land all owners' details are required


Table    A - owner's. consent: provided o n - form
                                                                               Date                   ^_4 ?/ of /-,to(
                        Ce i ,.5e7T1_,Cl'' S' WVE! D/ j
Owner's name/s
                                                                               TableA - owner's consent provided on form. .
I/We, the above-mentioned owner/s of the land, consent
to the making of this request.                                                 Owner's name/s                  -r
                                                                                                      a-
Signature/s                                                                        'The owner's written consent is attached.




2 of 4    2011112 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401