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Request for extension to relevant period 132007.616.04 · 132007.616.03
.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
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[Oaeo (- 10((0 ••.Q") I
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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
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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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Request for extension to relevant period 132007.616.04Related documentApplication case desk ↗
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