132003.220808.5 Extension to relevant period

     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