Representations for Negotiated Decision · OPW12/0534

                                                                                                             Sustainable Planning Act 2009

 ALL questions MUST be completed unless the form indicates otherwise.

 This form must be submitted to Council accompanied by the applicable fee.

 Attach extra pages if there is insu1ficient space on the fOflll.

 If Council was the Assessment Manager for the existing approval, and the approval was issued by the Court, then:0

 (a)a request to change the development approval andlor 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.




Postal address

Suburb                                                                                                               Postcode

Business phone                                                                                      Mobile

Email address                                                                                       Fax




          approval (please tick ALL appli~able categories)                  Which entity issued approval?

                       ((~~\.~                                              ~unshine Coast Council
     Development Permit
o Preliminary Approval

o    Compliance Permit
                        (.
                          ~’fre ~a..t....S                    ~_)       .
                                                                            0   Other entity   -

                                                                                                   please specify


o    Material Change of Use

o    Reconfiguring a Lot
o    Operational Works
o    Building Works
o    Plumbing or Drainage Works
o    Compliance Certificate
o    Environmentally Relevant Activity
Application number/council reference                                                                           Date issued

Is the approval for a mobile and temporary ERA?                                                No              DYes      -

                                                                                                                             complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating




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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 [email protected] 07 5475 7272                           F 07 5475 7277

Locked Bag 72 Sunshine Coast Mail Centre Qld 4560 I ABN 37 876 973 913

Caloundra office 1 Omrah Avenue Caloundra Qld 4551        I   Maroochydore office 11-13 Ocean Street Maroochydore Qld 4558
Nambour office Cnr Currie and Bury Streets Nambour Qld 4560         I   Tewantin office 9 Pelican Street Tewantin Qld 4565


1 of 4          2012/13 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s