Request for Referral Agency Response - Over height - RAP12/0053

.Please enclose documentation with request. Three (3)copies of plans and any other material relied on in support of the submission.




                                                                                                                                    o
                                                                                                                                    ,(~
Assessment Responsibility (please tick ..f)                                                                                          _.’
                                                                                                                                    ...~

o                                                                                                                                   4,
     Planning Assessment (exceeds height limit/number storeys and/or existing approvals                                             -

                                                                                                        I                           o
     apply)
                                                                                                                                    -0
o    Building Services (all other matters)
Comments
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                                                                                                                          (..t..)    3
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Payment options
In person     Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).

By mail       Cheque or money order to be made payable to: Sunshine Coast Regional Council.
               o Cheque                   I 0Money order                I 0Mastercard                 joVisa
              Card number                                               i Expiry date                 I Amount $
              Name on card                                              I Signature of cardholder
              Phone                                                     lis a receipt required?         DYes                 o No



3 of 3    2012/13 Regional Strategy and Planning Request for Referral Agency Response                       FM61 06/2-22/06/2012