132003.220660.4 Development Application part 1 Cover letter and Request to Extend Relevant period 1/1-7 Bayview Rd Noosa Heads · 132003.220660.3

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

NOTES:                                                                  Which entity issued the approval?

ALL questions MUST be completed unless the form indicates                        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.                   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
       mode 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
            Details of the person making the request
                                                                                 To change the development approval
 Full name - individual or company                                               To change the development conditions
             O36k7 4./ /c s 0.,V                                                 To extend the relevant period before lapsing

 Contact name -for company                                                         Please attach documentation outlining the details of
                                                                                   and the reasons and justification for the requested
                                                                                   change or extension.
 Postal address
                                                                        4.          Location of the premises
         ,7("           M                      C t_oS
                                                   oSrr
          13.j oc e, rrN                                                Street address

        60FC/VS(_ '4 n/0                    Postcode 3 5 S <c           Unit no.       Street no.    Street name

 Contact phone number                Fax number - if applicable              I           I -7           Bi4`1V/Gw                 AO
                                                                        Suburb                                        Postcode
F-6                                                                         No os 4             ' OS                  I
 Mobile number - if applicable
      OQIZ Zk4-l g8/                                                    Lot and plan description
                                                                        Lot no.        Plan type & plan no.
 E-mail address - if applicable
  r'o        @ , was . Go.vr . 4Ci.
                                                                                        -sP l!_67 o..2..

 2.         Details of the existing approval

 Type of approval - please tick ALL applicable categories
        Development Permit
                                                                        5.          Concurrence Agencies
        Preliminary Approval
        Compliance Permit                                               Was there one or more concurrence agencies involved in
        Material Change of Use                                          the original approval?
        Reconfiguring a Lot                                                      No
        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                                                                                  /     /

                                                   Z   y/ 6/ 2_. D                                                            /     /




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