NC Ext forms signed

Request to Change Existing Approval and/or

Extension to Relevant Period
2015/16

 

Sustainable Planning Act 2009

This form must be submitted to Council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.
Please note that for development approvals that include water and sewerage conditions, a Unitywater fee may also apply.

1. Details of person making the request

 

Full name ~ individual or company John & Ngaio Jamieson

Contact Name — for company C/ Martoo Consulting

Postal address Po Box 1684

Suburb Noosa Heads State Qld Postcode 4567
Business phone 5447 2550 A/JH phone Mobile

Email address [email protected] Fax 5455 3322

2. Details of existing approval

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

4 Development Permit w Council

Preliminary Approval O Other entity — please specify

Compliance Permit

Material Change of Use

Reconfiguring a Lot

Operational Works

Building Works

Plumbing or Drainage Works

Compliance Certificate

Environmentally Relevant Activity

Application number/council reference MCU15/0070 Date issued 22.10.2015
Is the approval for a mobile and temporary ERA? raf No QO Yes — complete below

HbooaoookRoo

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

3. Nature of request (please tick ALL applicable categories)

M To change the development W To change the development 0 To extend the relevant period
approval conditions before lapsing

Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.

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,qld.qov.au [email protected] T 07 5329 6500

PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121
Page 1 of 4