Request for Extension to Relevant Period - 132007.1181.01 - 33 Hastings Street Noosa Heads

3. Nature of request (please tick ALL applicable categories)
q        To change the development            q    To change the development               l/ 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
extension.


4. Location of the premises
Unit No.                       Street No


Lot no.                        Plan type & plan no.
    -T7 O MV                          Q P 7-665 _                _




5. Con. durrance Agencies
Was there one or more concurrence agencies involved in the original approval?                  q No
                                                                                                 7es-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                                                                            j 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?
^o                                                              q Yes
If yes, please attach a copy of the notice.


7. Owner's conSenI
Is the owner's consent required for this request?                    PNO
                                                                     q Yes- complete either Table A or Table B below
Note - If more than one owner of the land all owners' details are required


Table A -owner's consent provided on'°form
                                                                         Date
Owner's name/s
                                                                         Table A :owneras o^nsent_prowded,on fort
I/We, the above-mentioned owner/s of the land, consent
to the making of this request.

Signature/s                                                              q The owner's written consent is attached.




2 of 4      2011/12 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401