23497 DA Development Application Part 1 Changes form, covering letter, 5 Commerce Crt Noosaville · 132003.220966.2

                                                                                                                                    RECEIVED
                                                                                                        6 DEC 2010
     Sunshine ""oast                                              Request to Change Existing Approval and/or J''`i
                                                                         Extension to Relevant Period

 NOTES:                                                                          Which entity issued the approval?
 ALL questions MUST be completed unless the form indicates                            Sunshine Coast Regional Council
 otherwise.                                                                           Other entity - please specify: t-            o tk ('t e,, U L._
 This form must be submitted to Council accompanied by the
 applicable fee.                                                             Is the approval for a mobile and temporary ERA?

 Attach extra pages if there is insufficient space on the form.                       No
 If Council was the Assessment Manager for the existing approval,                    Yes - complete below
 and the approval was issued by the Court, then:-
                                                                             Insert the name of each local government area in which the
 (a)     a request to change the development approval and/or                 mobile and temporary ERA is proposed to
         conditions is made to the Court; and
                                                                             operate/operating.
(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                                                          1       -4       4 DFl
Regulation 2009.                                                            3.             Nature of request

                                                                            Please tick ALL applicable catega$ '
C            Details of the person making the request                  I      To change the development appro
Full name - individual or company                                           i To change the development cons
                                                      -tL-Q -- ]                     To extend the relevant period before
                  )It1              DN k

Contact name -for company                                                              Please attach documentation outlining the details of
                                                                                       and the reasons and justification for the requested
                1V    A
                                                                                       change or extension.
Postal address
                                                                            4.          Location of the premises

       (^lwS c\ ^^E                         S                               Street address

        CN^ \                               Postcode         S7o
                                                               _ 7          Unit no.        Street no.   Street name

Contact phone number                 Fax number - if applicable            1=                   5            ^' c:rnHt-^CC^ Cc^
                              L                                             Suburb                                      Postcode
        --
Mobile number - if applicable
                                                                                  N u^: 5 11^ v t L..-L- C                            /-t- 5 c, C,    1
     C7 Z{- C            L4- O (-                                           Lot and plan description
                                                                            Lot no.         Plan type & plan no.
E-mail address - if applicable
                                                                                                    \                  '        i-1 o 2 3v c^ cf


2.           Details of the existing approval                          I
Type of approval - please tick ALL applicable categories
        Development Permit
        Preliminary Approval                                                5.          Concurrence Agencies                                         11
        Compliance Permit                                                   Was there one or more concurrence agencies involved
        Material Change of Use                                              the riginal a proval?
        Reconfiguring a Lot                                                    1 No       IT    M' f VJ. ti)w(., z% C1, (:^!7.
        Operational Works                                                           Yes - provide details below
        Building Works                                                      Note - Under s372 of the Sustainable Planning Act 2009 the person
        Plumbing or Drainage Works                                          making the request is required to give a copy of this request to all
                                                                            concurrence agencies.
        Compliance Certificate
        Environmentally Relevant Activity (ERA)                             Concurrence Agency                                    Date copy given

Application number               Date issued

               ^+q                 A              1k /^z/ c3




PD-DA-FM401I1-30104/2010                                                                                                            Page 1 of 2