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Extension to Currency Period_Cooroey Aged Care

of 3

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a NOOSA Extension to Currency Period

®& Council

Planning Act 2016

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 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 Planning Act 2016 or the Planning Regulation 2017.

1. Applicant details

Applicant name — individual or company \“ACO1 LAKE \WOtkKS PTY LTO
ContactName SSarq Bur stan
Postal address VO QO yx J)O4q9

 

Suburb SouTHPoe@y BT State DUD Postcode 4 |S
Business phone O77 SSS 9D |3Q0 Mobile
Email address Savak@ Palmlate .com. qo Fax

2. Owner's consent

Is the owner's consent required for this request? &” No O Yes — the written consent of the owner(s) is attached
to this extension application.

Note — if more than one owner of the land all owners’ details are required

3. Location of the premises

 

Unit No. StreetNo 15 Street PE ARSANS ROAD
Suburb COORO4 ‘State DLO Postcode 4563
| Lot no. | Plan type & Plan no.

103 — ROWS 922

 

4. Details of existing development approva subject to this extension application|

Approval Type Application number Date issued Entity that gave the
a ; development approval
[7 Development Permit | oO N60S4
MCEVISI OW 22/74
LI Preliminary Approval Recs | 002 | & COONCICE

5. Further details
Provide the currency period for this development approval

‘ ) yl 2024
Identify how long this application seeks to extend the currency period of this development approval. Note: reasoning to
support the proposed extension should also be provided.

See ATTACHED LeTER OATEO Sfi2/ 23

 

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 policy.

www.noosa.qid.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qid 4565 ABN 97 969 214 121

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