Change to Approval Part 1 51992.657.01

| Sunshine Coast

 

 

   

otherwise. -:
This form must.be submitted to Coie ncediipaied by. ihe
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:-

ignge the development approval and/or

to the Court; and.

 

 

  
 
 

 

All terms used on the form'have the meaning given'in the
Sustainable Planning Act 2009 or the Sustainable Planning
Reguiation 2009: .

 

 

 

 

az: Details of the person making the request

Full name ~ individual or company

 

[ PACIFIC %CHEh

Contact. name — for company

 

LDN  CGheHar ‘ Z|

Postal address

 

LO: OO
NOOSAWIALAZ BC Postcode meee

Contact phone number Fax number - if applicable

     

x IG OL.

 

 

 

[FAC AMIS 2O L SHIASS XX
Mobile number — if applicable

 

LOn76 S72 S3E
E-mail address - if applicable

 

lrlete Patsfie Lege. Cina ak |

(2... < Details of the existing approval
Type of approval ~ please tick ALL applicable categories

 

Development Permit
Preliminary Approval
Compliance Permit
Material Change of Use
Reconfiguring a Lot
Operational Works

Building Works

Plumbing or Drainage Works

 

 

 

 

 

 

 

 

Compliance Certificate

 

Environmentally Relevant Activity (ERA}

 

 

 

 

SIPF ALS 7-

Request to Change Existing Approval and/or
Extension to Relevant Period

Which entity issued the approval?

\/ | Sunshine Coast Regional Council
Other entity - please specify:

 

 

 

Is the approval for a mobile and temporary ERA?
No
Yes — complete below

 

 

 

 

 

Insert the name of each local government area in which the
mobile and temporary ERA is proposed to
operate/operating.

 

 

 

[ 3. Nature of request

Please tick ALL applicable categories

w | To change the development approval

To change the development conditions

To extend the relevant period before lapsing

 

 

 

 

 

 

Please attach documentation outlining the details of
and the reasons and justification for the requested
change or extension.

 

[4 Location of the premises . 7 |

Street address
Unit no. Streetno. Street name

LS as Te

Suburb

N@@5/- Ady a

Lot and plan description

_Lotno._ Plan type & planno.
33. GT. Soa

 

 

 

 

 

 

(5. Concurrence Agencies

Was there one or more concuriee
the original approval?

ut No
Yes — provide details beiow
Note — Under 5372 of the Sustainable Planning Act 2009 the person

making the request Is required to give a capy of this request to all
concurrence agencies.

 

 

 

 

Concurrence Agency Date copy given

 

Application number Date issued

| SLIG2 “GST. [7

PD-DA-FM401/4-30/04/2010

 

 

 

 

 

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