132005.699.1.05 - Application to Change to Existing Approval - (shows as 699.1.05 but should be .66.05) · 132005.699.04

  Sunshine Coast                                             Request to Change Existing Approval and/or
     Ro jiin_i Council
                                                                    Extension to Relevant Period

NOTES:                                                                       Which entity issued the approval?
ALL questions MUST be completed unless the form indicates                    SI/ Sunshine Coast Regional Council
otherwise.                                                                             Other entity - please specify:
This form must be submitted to Council accompanied by the
                                                                             Is the approval for a mobile and temporary ERA?
applicable fee.
Attach extra pages if there is insufficient space on the form.               7         No
If Council was the Assessment Manager for the existing approval,                       Yes - complete below
and the approval was issued by the Court, then:-
                                                                            Insert the name of each local government area in which the
(a)      a request to change the development approval and/or                mobile and temporary ERA is proposed to
         conditions is made to the Court, and
                                                                            operate/operating.
(b)     a request to extend the relevant period for the approval is
        made to Council.
All terms used on the form have the meaning given in the
Sustainable Planning Act 2009 or the Sustainable Planning
Regulation 2009.                                                            3.              Nature of request

                                                                            Please tick ALL applicable categories
C          Details of the person making the request
                                                                                       To change the development approval
Full name - individual or company                                            V         To change the development conditions
                                                                                       To extend the relevant period before lapsing
     Tf1wcl-5 Cove PCvvLO?                     s Q- kA ^
                                     0ErEL"OF>"E 4T MM)A4eL3                            Please attach documentation outlining the details of
Contact name -for company
                                                                                        and the reasons and justification for the requested
5 c.O1r    SOgE(
                                                                                        change or extension.
Postal address
                                                                           I 4.             Location of the premises                               1
PO oh 63 8D
mA.0,oo(_H yoo(ia Gc.                      G-LD                             Street address
                                            Postcode      4 ^S               Unit no.         Street no.   Street name

Contact phone number                 Fax number - if applicable                                   10       .SER^iJI^ y Ct_vSE
                                                                            Suburb                                         Postcode
0'1    75 -i 4      28 44             D'1 54 4.3 -1 1            b
                                                                             NOOK VkCADS                                      456
Mobile number - if applicable
                                                                            Lot and plan description
                                                                             Lot no.          Plan type & plan no.
E-mail address - if applicable
                                                                                  `j           SP 195811
 Scoi't . 50                       .cnkAd s .       ov, . au         -71

2.         Details of the existing approval
Type of approval - please tick ALL applicable categories
        Development Permit
        Preliminary Approval                                                5.              Concurrence Agencies
        Compliance Permit                                                   Was there one or more concurrence agencies involved in
        Material Change of Use                                              the original approval?
        Reconfiguring a Lot                                                            No
                                                                              V
        Operational Works                                                              Yes - provide details below
        Building Works                                                      Note - Under s372 of the Sustainable Planning Act 2009 the person
        Plumbing or Drainage Works                                          making the request is required to give a copy of this request to all
                                                                            concurrence agencies.
        Compliance Certificate
        Environmentally Relevant Activity (ERA)                             Concurrence Agency                             Date copy given

Application number               Date issued                                                                                    /     /
                                                                                                                                /     /
13 2°0 5. 659 . 5                                 i3 /to/ Zoo5
( -Loo 5 0(09`1)




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