132003.220808.5 Extension to relevant period

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