Permissible Change Cover Letter, Form and Attachments

                                                                               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 – Empirica Developments Pty Ltd c/- DFS Group
Contact Name – Peter Folker
Postal address – PO Box 605
Suburb – Maroochydore                                                                 State – Qld                        Postcode – 4558
Business phone – 5443 5566                          A/H phone                                           Mobile
Email address – [email protected]                                                                    Fax

2. Details of existing approval
Type of approval (please tick ALL applicable categories)                      Which entity issued approval?
X    Development Permit                                                       X     Council
    Preliminary Approval                                                          Other entity – please specify
    Compliance Permit
X    Material Change of Use
    Reconfiguring a Lot
X    Operational Works
    Building Works
    Plumbing or Drainage Works
    Compliance Certificate
    Environmentally Relevant Activity
Application number/council reference MCU14/0102 & OPW15/0051                                                         Date issued 9.06.15
Is the approval for a mobile and temporary ERA?                                               X    No                     Yes – complete below
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)
X    To change the development                      X    To change the development                           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.gov.au                        [email protected]                       T 07 5329 6500
PO Box 141 Tewantin Qld 4565                                                            ABN 97 969 214 121

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