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Request for extension to relevant period 132009.879.01

of 6

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  o      To change the development                   0    To change the development                I ~ To extend the relevant period
         approval                                         conditions
                                                                                                __~fore lapsing           __________



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




  Unit No.
 _._-----~..._._-
                                    j Street No                       Street Arakoon Crescent
                                                                                                                --




  Suburb          Sunshine Beach
                                                                   ----/state Qld                                  --I Postcode       4567
  Lot no.                           I   Plan type & plan no.
  786                                   RP48111




f----------_._._.._____.___.__._                                                   ____.._            ___




 5. Concurrence Agencies

  Was there one or more concurrence agencies involved in the original                                      ./ No
                                                                                          approval?
                                                                                                              -----------_._--- -_.-




                                                                                                           o Yes-provide details below
 Note        Under s372 of the Sustainable Planning Act 2009 the person making the
                                                                                            request is required to give a copy of this request to all
         -




 concurrence       agencies.
 Concurrence Agency                                                                                        Date copy given




                                                     .
                                                         ~--.    .-   _..._._..   -----_._.----._----.               ----   -_._. ----       .---_._---




 6. Pre-request response notice

 Has a pre-request response been given by a relevant entity (e.g. a concurrence
                                                                                                      agency) for this request?
                                                                                                 -
                                                                                                                ---------_.-



 ./ No
                                           --_._-----"--_.._-_.
                                    ---------
                                                      0Yes
                                                                                           -----------------                 ...
                                                                                                                                   ------._---_._-




If yes, please attach a copy of the notice.



7. Owner’s consent

Is the owner’s consent required for this request?                          0 No

                                                                           o Yes- complete either Table A or Table B below
Note     -
             If more than one owner of the land all owners’ details are required



Table A       -  owner’s consent provided ’on form’!             ."
                                                                                   Date
                             Peler Amour
Owner’s name/s
                         I                                                         Tabl   8-’owner’s consent         provided’on’form ’. ".’     ,



                                                                                                                                                     ."
IlWe, the above-mentioned owner/s of the land, consent
to the making of this                                                              Owner’s name/s
                              reque~
Signature/s               --       I~-__-                                          o The owner’s written consent is attached.




2 of 4                   2013/14 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s

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