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Request for extension to relevant period 132007.616.04 · 132007.616.03

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    .1111                                                                                         Request to Change Existing Approval and/or

   ••••           NOOSA COUNCIL                                                                                  Extension to Relevant Period


                                                                                                                               Sustainable Planning Act 2009

      AlL questions MUST be completed unless the fonn indicates otherwise.
      This fonn must be submitted to Council accompanied by the applicable fee.
      Attach extra pages ~ there is insufficient space on the fonn.
      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 10the Court; and
      (b) a request to extend the relevant period for the approval is made to Council.
     Alilenns     used on the fonn have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning Regulation
     2009.




                                                                                                                                      Postcode   3jcf6_l
                                                                                                                  Mobile    CJ-.«       7 XtQ)__ 1
                                                                                                                  Fax

  2. Details      of existing      approval

  Typ)l of approval          (please tick ALL applicable           categories)          Which entity issued approval?
  [;("   Development           Permit                                                   o     Council
  o      Preliminary         Approval                                                   o     Other entity - please specify
  o      Compliance          Permit
  o      Materiai    Change of Use
  o      Reconfiguring        a Lot
  o      Operational     Works
  o      Building Works
 o       Plumbing      or Drainage         Works
 o       Compliance          Certificate

 o       Environmentally
 Application        number/council
                                   Relevant        Activity
                                           reference
                                                                            _-..L ---="'---------
                                                               [Oaeo (- 10((0 ••.Q")                                          I
                                                                                                                               ---------;c
                                                                                                                                  Date issued
                                                                                                                                                    ._   I ....,
                                                                                                                                                 191 q 205
 Is the approval       for a mobile and temporary                ERA?                                   rI. No                    0   Yes - complete below
 Insert the name of each local government                      area in which the mobile and temporary             ERA is proposed        to operate/operating

f----------                                                                                                                                                  ~
                                                                                                                                                                       ,
                                                                                                                                                                       ,
;-----                                                                                                                                                              ---1


---------------------------                                                                                                                                           J

Prtvacy -         -                                     ----
Council will use any personallnfonnatlon           provlded fer the Intended purpose only and for remaining in contact with you, Council is authorised to collect
thllinformatlon     In accordance 'Mth the Local Government Act 2009 and other Local Govemment Acts. Your personal infonnation is only accessed by
P8!!0"__ authorised to do 10. Your personal Information I. dealt wtth In accordance with council's privacy policy.

WNW.DQQse.ald       goy ay
PO Box 141 TewanUn Old 4585
                                                   I   ma!l@noosa aid goy au
                                                                                               , T 07 5329 6500
                                                                                                 ABN 97969214      121

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