Change of existing approval Shop 3 OTT251 · 132004.240098.4

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ig a | Request to Change Existing Approval and/or
uo NOOSA COUN (0195 Extension to Relevant Period

201415
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Sustainable Planning Act 2009

 

 

 

 

 

 

 

 

 

PALL questions MUST be completed uniess the form indicates otherwise, - :

j This form must be submitted to Council accompanied by the applicable fee,
i 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 I

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i (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. :
L

emg tert} LCR e RUM =te I FTty3
|Full name — individual or company Noosa Palm Tree Holdings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Name — for company C/ Martoo Consulting

Postal address Po Box 1684

Suburb. Noosa Heads | State Qid ~ [Postcode 4567
Business phone 5447 2550 | A/H phone : Mobile
(Email address [email protected] | Fax 5455 3322 °° |

 

 

 

 

 

 

     
 

  

2. Details of CS Tieier ys) coN'z)]

  

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Type of approval (please tick ALL applicable categories) | Which entity issued approval?
Development Permit | Council
Preliminary Approval ‘0 Other entity — please Specify
Compliance Permit |
Material Change of Use }
Reconfiguring a Lot i
Operational Works
|
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Building Works
Plumbing or Drainage Works
Compliance Certificate

Environmentally Relevant Activity
‘Application number/council reference 2004/240098 (23789 DA) . ' Dateissued 22.09.05
Is the approval for a mobile and temporary ERA? wW No O Yes— complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating 7

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Council will use any personal information provided for the intended Purpose only and for remaining in contact with you. Council is 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.

wwww.noosa.qid.gov.au [email protected] T 07 5329 6500
PO Box 144 Tewantin Qld 4565 ABN 97 969 214 121

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