doc20170315132414

   

pw aE ~ Request to Change Existing Approval and/or
| NOOSA COUNCIL : : oS : 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 i is made to the Court; and

(b) a request to extend the relevant period for the approval i is made to Council. :
"All terms used on the form have the meaning given in the Sustainable Planning A Act 2009

 

   
 
 

 

i
i
i
: |
or the Sustainable Planning Regulation
“ i

Ful name — individual or company Jason Mier : ;
Contact Name — for company Chris Clauk Desi BS oo
‘Postaladdress PO Box 139 _

 

 

 

 

 

 

‘Suburb Noosowille — [State GLO [Postcode 4566
Business phone 09 SG 7¢G 107]. AIH phone Mobile
Email address jasonMdbasclevtdes'g ig” @ur.au . Fax ce a

 

 

2. Details of.existing approval

Type of approval (please tick ALL applicable categories) Which entity issued approval?

{1 Development Permit Council

( Preliminary Approval QO Other entity — please specify
a Compliance Permit
a Material Change of Use
Reconfiguring a Lot

Operational Works

Building Works

Plumbing or Drainage Works
Compliance Certificate
Environmentally Relevant Activity
Application number/council reference MCUIS/O00 G6. 02 , Date issued 5/10/16

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

 

 

ooooo0

|
i
|
'
i
i
}
|

 

; “Insert the name of each local government area in which the mobile and | temporary ERA i is proposed to operate/operating —

 

 

 

 

Privacy

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.

www.noosa.qid.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121

Page 1 of 4