132005.699.06 Request for extension to relevant period Lot 5 Serenity Close Noosa Heads

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                      Coast
’&;
           I Sunshine
             Cou,ncil Request
                                                                                           2012/13 Regional Strategy and Planning
                                            to Change Existing Approval and/or Extension to Relevant Period

                                                                                                                        Sustainable Planning Act 2009



      Development Services Information Counters Locations
      8.30 am to 4.30 pm Monday to Friday (excludes public holidays).

      Caloundra       -
                          1 Omrah Avenue Caloundra Old 4551

      Maroochydore          -

                                Maroochy on First, 10 First Avenue Maroochydore Qld 4558
      Nambour       -
                        Cnr Currie and Bury Streets Nambour Qld 4560

      Tewantin      -
                        9 Pelican Street Tewantin 4565


          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 insufficient space on the form.
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          If Council was the Assessment Manager for the existing approval, and the approval was issued by the Court, then:O                                       ’

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                                                                                                                                         ..
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          (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.



      1. Details of person making the request

      Full name     -
                        individual or company      C&7>         SE.1fLE12.:5               COJE      P l:1"":b
      Contact Name         -
                             for company      C,Af!....’i    4Gb               /E.’i
      Postal address           Po          x      ICfZ 3
      Suburb        ~SA              HeAJ::>S                                              I State QQ)                     I Postcode ,+$’67
      Business phone           SI.flf OIU I AlH phone
                            (O ]                                                                              Mobile   ()4-n q7"B Iq6
      Email address            eta r’-l @ sefr~~e cern. aLl           .
                                                                                                              Fax   (o7)S44’3 02.~6
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      2. Details of existing approval


      TyPJ of approval (please tick ALL applicable categories)                      Wh!_91 entity issued approval?
      I\V Development Permit                                                        Ii?" Sunshine Coast Council
      o      Preliminary Approval                                                      o   Other entity   please specify
                                                                                                          -




      0      Compliance Permit
      0      Material Change of Use

      0      Reconfiguring a Lot
      0      Operational Works
      0      Building Works
      0      Plumbing or Drainage Works
      0      Compliance Certificate



      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 [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