132002.220611.5 Extension of relevant period - 14 Serenity Cl, Noosa Heads

. . .                                                                                                   Request to Change Existing Approval and/or
                                                                                                                                                                              UJT ~

Ill.
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            NOOSA COUNCIL                                                                                             Extension to Relevant Period
                                                                                                                                                                          2015/16



                                                                                                                                                      Sustainable Planning Act 2009


 This form must be submitted to Council accompanied by the applicable fee.
 Attach extra pages if there is insufficient space on the form.
 Please note that for development approvals that include water and sewerage conditions. a Unitywater fee may also apply.



1. Details of person making            the request
Full name - individual or company             CJ!il;> ~c.-r-rUEI!S COVe fry
Contact Name - for company               5#      AI0~N..::O:::..:-tv..::'---=c.=.:..:.'..::LLf'o,f::D:='--'-.:=--                         ~                                           -1
Postal address         PC! /!ox               1423
Suburb       NOOSA              lteAhS                                                                               State Q 0                             Postcode       '-f$ 67
Business phone         <::41+'b 0 \ '6G                   NH phone                                                                      Mobile        OLtCJ6752             2~
Email address             "OfIf'CVl     <i! s:-tt k~rs("OJe, a:M. alA .                                                                 Fax


2. Details of existing       approval
Type of approval (please tick ALL applicable categories)                                               Which entity issued approval?
o       Development       Permit                                                                       o            Council
o       Preliminary    Approval                                                                        o            Other entit _-please       specify
o       Compliance     Permit
                                                                                                                                  l                             ,_'Iv'nter
                                                                                                                                                                   .•....
                                                                                                                                                                     l..•
o       Material Change of Use
o       Reconfiguring a Lot
o       Operational Works
                                                                                                                                                  17 MAY Z016
o       Building Works                                                                                                                            .
o       Plumbing or Drainage Works
                                                                                                                                                  , .      ;:.,tin
o       Compliance     Certificate
o       Environmentally      Relevant     Activity
Application number/council           reference       (;2.002.. 2 'lOb II.                                                                             ! Date issued O:z..I25S{
Is the approval for a mobile and temporary ERA?                                                                                                        0    Yes - complete be/ow
Insert the name of each local government                     area in which the mobile and temporary ERA is proposed to operate/operating




                                                                                                                                               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.


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 infonnation 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.


www.noosa.qld.gov.au                       I [email protected]                                                     T 07 5329 6500
PO Box 141 TewantinQld 4565                                                                                           I   ABN 97 969 214 121

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