Changes Application - MCU15/0023.02

.-   111111                                                                                     Request   to Change Existing Approval                 and/or

     Ill. NOOSA COUNCIL                                                                                          Extension to Relevant                Period



                                                                                                                         Sustainable Planning Act 2009


      ALL questions MUST be completed unless the form Indicatesotherwise.
      This form must be submitted to Council accompaniedby the applicable fee.
      Attach extra pages if there is insufficient space on the form.
      If Councii was the Assessment Managerfor the existing approval,and the approvaiwas 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 SustainablePlanningAct 2009 or the SustainablePlanning Regulation
      2009.



     Full name - individual or company                  ~O~J;1t.
                                                             \ \
     Contact Name - for company                       f' VL €:ltf'r{.iC
     Postal address               '2.. c..teN         ')T
     Suburb                      VV\\\"SOI\IS      POINt                                   State       ~t\.-."l                Postcode     'lA'1
     Business phone        01 "l "I ~          ~0 ~      NH phone         () 4-"1\   (,41, ~ \ I              Mobile     04-3\      &4-i> G II
     Email address~                    t.J..~(~L••~f.0V~ •.•..cu••••.
                                ..br •••                           ~\A                                        Fax


     2. Details of existing approval
     Type of approval (please tick ALL applicable categories)                        Which entity issued approvai?
     18   Development          Permit                                                Iiil Council
     0    PreliminarY Approval                                                       0   Other entity - please specify
     0    Compliance          Permit
     0    Material Change of Use
     0    Reconfiguring a Lot
     0    Operational Works
     0    Building Works
     0    Plumbing or Drainage Works
     0    Compliance          Certificate
     0    Environmentally          Relevant Activity
     Application number/council reference                       M( U \ S-/001'3>                                         I Date issued S..6 ..'LO\ ~
     Is the approval for a mobile and temporarY ERA?                                                1& No                  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




     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 author1sed to do so. Your personal information is dealt WIth JO~rdance     'Nith council's privacy policy.


     W\WoI.noosa.gld.qov.au                    I [email protected]                       T 07 5329 6500
     PO Box 141 Tewantin Old 4565                                                           I   ABN 97 969 214 121

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