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132004.240018.9 (23689 DA) - Request to extend currency period

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    •• NOOSA COUNCIL
    •. ..II
                                                                                              Request to Change Existing Approval and/or
                                                                                                            Extension to Relevant Period
                                                                                                                                                     ~O14l15


                                                                                                                       Sustainable    Planning Act 2009


        All    questions MUST be completed unless the form Indicates othBlWise.
        This form must be submitted to Council accompanied by the applicable fee.
        Attach extra pages if there is insufficient space on the form.
        If Council was the Assessment Manager for the existing approval, and the approval was Issued by the Court, lhen:-
        (a) a request to change the development approval and/or conditions Is made to the Court; and
        (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.




                                                                           "lo
    Contact Name - for company
                                                         - --
                                                   Nf'rTh"'N
                                                             ~NO.
                                                                     IVI~N
                                                                          ---
    Postal address            /6 G"Ol<-.       103'<3           --
    Suburb                  fl"o-nul/6           Vl\l.U:;j                               Stale     Q                        Postcode     I{<:ob
                              3/li, "Zoe                     IAIH phone
    Business phone

    Email address             ~lN                 ~       ry'     a:.H> •••••••


    2. Details      of existing       approval
    Type of approval (please tick All               applicable categories)        Which entity issued approval?
    ~         Development       Permit                                            ~    Council
    0         Preliminary     Approval                                            0    Other entity - please specify
    0         Compliance       Permit
    IY'       Material Change of Use
    ~         Reconfiguring     a lot
    0         Operational     Works
    0         Building Works
    0         Plumbing or Drainage Works
    0         Compliance       Certificate
    o         Environmentally         Relevant    Activity
    Application       numberlcouncil         rclerence        (gzCX>lf . .2It=1 g. b   O~sb'tl'L!)I\)--             -I Date issued 2S: ol,-:~
    Is the approval for a mobile and temporary                  ERA?                               5J7 No               0     Yes - complele      below
    Insert the name of each local government                   area in which the mobile and temporary       ERA is proposed to operate/operating


                                                                                                        -




    Privacy
    Council will use any ~onal infonnalion provided for the intended purpose only and for remaining In contact v.-ith you. Council is authotised 10 coiled
    this Information in accordance 'Nilh the Local Govornmonl Act 2009 and other local Government Acts. Your personal Information Is only accessed by
    persons authorised to do so, Your personal infonnation is dealt with in accordance wilh council's privacy policy.


    'N'NW.noosa aid gOY au                         I   mail@noosa 9ld90v.au                T 07 5329 6500
    PO Box 141 Tewanlin Old 4565
                                                                                          I   ABN 97 969 214121

                                                                                                                                                Page 1 014

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