132007.1022.01 Extension to relevant period

   Sunshine Coast                           2011112 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   R 06                          .4-   PiN►il
Contact Name - for company
Postal address (/ ti 1       r-tco       (c,"so /-,<         PGA P'JF^,c     /C, ^( /VL l-/,Pc< eJ'A                         W 61
Suburb      A/.XsA          /-icc, cl1                                        State                               Postcode   LL )6
Business phone       j ,^ SS S c, a            A/H phone                                         Mobile
Email address        , ) ey Ct/       (A cu a <aio^ C{;) St;7" (- i                              Fax


2. Details of existing approval
Type of approval (please tick ALL applicable categories)                Which entity issued approval?
     Development Permit                                                 O Sunshine Coast Council
     Preliminary Approval                                               9 Other entity - please specify
     Compliance Permit                                                                   S <<.         LC- -c . c c C
     Material Change of Use
     Reconfiguring a Lot
     Operational Works
      Building Works
      Plumbing or Drainage Works
      Compliance Certificate
      Environmentally Relevant Activity
Application number/council reference          ^t:'c)7/jL^a                                                    Date issued    J) ^. -tcfrj
Is the approval for a mobile and temporary ERA?                                       'f0'. 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




                          Development Counter
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 polPcy.


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