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Request to change the development approval 132006.674.01

of 9

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                 Coast
       ISunshlne
        Council Request
                                                                                     2012/13 Regional Strategy and Planning
                                      to Change Existing Approval and/or Extension to Relevant Period




                                                                             o Evidence the chief executive has agreed to the              uest




    9. Declaration of applicant

II/We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this
i application with the Sunshine Coast Regional Council. Should any of the details given in relation to this application be
              in the
I’ changed
I
                 future,
   being implemented.
                             the applicant shall advise the Sunshine Coast Regional Council in writing prior to
                                                                                                                                any such change !
                                                                                                                                                   !
                                                              ---




    Sig;;;’~j;                                                                                                                                     ,
                  :j.?-’:;;:_;~;;fii                                  -----------------Tii;;;-/Jl;rzt~----

!Prvacy
    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 Govemment 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.




    www.aURlhlnec:lOUt.qld.gcw..uIIl.llliIQaunahin                lqld.gov.auIT 0754757272 F 07 5475 rzn
    Locked Bag 72 Sunshine Coallt Mall Cenlnt QId -4580
                                                          I       ABN 37 878 973 913

    c.Joundra omc.1 Omrah Avenue c.loundra QId 451            I    ~omc:. f 1-13 Osn.t MaroochydOl’8 QId ..558
    Nlmbour oftIce enr Cume al’d Bury Streets Nambaur QId 4560
                                                                        I     Tew.ntln oIIIce 9 Pelican Street Tewantin Qld 4565


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

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