132003.220808.5 Extension to relevant period

Page 2

     ISunshineCoast                            2011/12 Regional Strategy and Planning
      Council Request to Change Existing Approval and/or Extension to Relevant Period

                                                                                                         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 insufficient space on the form.
 If Council was the Assessment Manager for the existing approval, and the approval was issued by the Court, then:
 (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          (A"T HT-
                                                 E- R-1 NE LOV I SE T +t0 M ' c.!
Contact Name - for company C 1 l?                                                        9-^z i   Q 1)9. 5 ^j


Suburb ( AGT             R 1\;C4                       State( T L o                                          Postcode (-4 I ?
Business phone                 A/H phone 5 j^ 1 J C C -7            Mobile
Email address (' LTWQ1v Sc)              G
                                 l CT-t3r7 - N€ T -A V              Fax


2. Details of existing approval
Type of approval (please tick ALL applicable categories)                 Which entity issued approval?
lY Development Permit                                                    " Sunshine Coast Council
q Preliminary Approval                                                   q Other entity - please specify
q Compliance Permit
We' Material Change of Use
    Reconfiguring a Lot
      Operational Works
      Building Works
      Plumbing or Drainage Works
      Compliance Certificate
11    Environmentally Relevant Activity
Application number/council reference                  PA          pV 3    / o $ Q 6                      Dateissued 1,•104 0
Is the approval for a mobile and temporary ERA?                                   9--'No                 q    Yes - complete 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 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.


swrw                 pov.M                      -gld.gov-au I T 07 5475 7272 F 07 5475 7177
Lodnd Bag 72 Swuhir Cost Ma8 Cant. Old 4580 ^ ABN 37 878 9M 913

cl.loun*a olio 1 Onrah Avenue C+dotn ire Old 4561 I rarooclydons ants 11-13 Owen 9tse Mwoodrydoro Old 4568
lisbar duce Crr Cunt and Bury Steels Nwnborr Qld 49880       TwrwMl i d5cs 9 Pefran Sbest Teiwwrtl i QkI 45x6

1 of 4    2011112 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401

Page 3

3. Nature of request (please tick ALL applicable categories)
q To change the development            q To change the development                         B' 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.


4. Location of the premises
Unit No.                 Street No                          Street
Suburb                                                                       State                        Postcode
W. I.                         Plan type & plan no.
                                 1117-?-I




5. Concurrance Agencies
Was there one or more concurrence agencies involved in the original approval?                  E'No
                                                                                               q Yes-provide details below
Note - Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence agencies.
Concurrence Agency                                                                             Date copy given




6. Pre-request response notice
Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
loo                                                             q Yes
If yes, please attach a copy of the notice.


7. Owner's consent
Is the owner's consent required for this request?                    q No
                                                                     q Yes- complete either Table A or Table B below
Note - If more than one owner of the land all owners' details are required


Table A - owner's consent provided on form
                                                                         Date
Owner's name/s
                                                                         Table A - owner's consent provided on form
I/We, the above-mentioned owner/s of the land, consent
to the making of this request.                                           Owner's name/s

Signature/s                                                              q The owner's written consent is attached.




2 of 4   2011112 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401

Page 4

NOTES: For question 7
Under section 371 of the Sustainable Planning Act 2009, if the person making the request is not the owner of the land to which the
approval relates, the request must be accompanied by the owner's consent.
However, owner's consent is not required if the approval:
-    relates to land the was acquisition land to which section 263(2)(d) of the Sustainable Planning Act 2009 applied when the
     application for the approval was made; or
-    is for building work or operational work for the supply of community infrastructure on land designated for the community
     infrastructure; or
-    the consent of the owner would not be required under section 263(1) of the Sustainable Planning Act 2009 if a development
     application were made for the requested change.
Also, owner's consent is not required if the Assessment Manager is satisfied that:
-    the number of owners of the land make it impractical to obtain owners' consent, and the requested change does not materially
     affect the owners' land; or
-    having regard to the nature of the proposed change, the owner has unreasonably withheld consent and the requested change
     does not materially affect the owner's land.


8. Does the request involve a State resource prescribed under the SustainablePlanning Regulation 2009,
Schedule 14?
GVNo                                                    q Yes - complete below details
Nature of State owned resource:
Nature of Evidence required:
q Evidence of allocation of / entitlement to, the resource         q Evidence the chief executive has agreed to the request
Attach a copy of the evidence required above
NOTES: For question 8
Section 370(3) and (4) of the Sustainable Planning Act 2009 requires that if an application for the development approval were made at
the time of making this request and evidence under section 264(1) of the Sustainable Planning Act 2009 would be required to support
the application, this request must be accompanied by the written agreement of the chief executive from whom evidence would be
required under section 264(1).
Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a State resource, a regulation may require
the application to be supported by certain evidence prescribed under regulation. Schedule 14 of the Sustainable Planning Regulation
2009 prescribes the State resources for which evidence is required to be given, and the evidence required, to support the application.


9. Declaration of applicant
I/We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this
application with the Sunshine Coast Regional Council. Should any of the details given in relation to this application be
changed in the future, the applicant shall advise the Sunshine Coast Regional Council in writing prior to any such change
being implement
Signature/s                                                                                          Date 11




3 of 4   2011112 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401

Page 5

OFFICE USE ONLY
Application no. Amount paid             Date paid           Receipt no.           Initial           Date stamp


Receiving Officer




Payment options
In person      Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail        Cheque or money order to be made payable to: Sunshine Coast Regional Council.
               2'Eheque                    q Money order                  q Mastercard              q Visa
               Card number                                                Expiry date               Amount $
               Name on card                                               Signature of cardholder
               Phone                                                      Is a receipt required?     q Yes        q No
4 of 4    2011112 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401