OPW15/0197 - Request to Change Existing Approval Application

ae eavest to Change Existing Approval and/or
: Extension to Relevant Period

2015/16

    

 

| Sustainable Planning Act 2009

 

| This form must be submitted to Council ace bitnied by the serlicable ee
| Attach extra pages if there is insufficient space on the form. i€ Nun i
Please note that for development approvals that include wafer and sewerage conditions, a Unftywate fee may also apply.

1. Details of person making the request
Full name — individual or company GoRDowN AND BELINDA tHERFoORD

Contact Name — for company

‘Postaladdress fO Box 413

 

| Suburb Noosa HEADS State QL Postcode 4S]
|Business phone O7 SYSS¥89Q A/Hphone oF S¥S52499 Mobile G: Of 19672 41)
Emailaddress info@ poe ta. com-av [Fax oD S¢SS 4077

2. Details of existing approval

| Type of approval (please tick ALL applicable categories) Which entity issued approval?

O Development Permit (O Council

QO Preliminary Approval |O Other entity — please specify

O Compliance Permit

O Material Change of Use

O Reconfiguring a Lot

wy Operational Works

QO Building Works

O Plumbing or Drainage Works

O Compliance Certificate

O Environmentally Relevant Activity

Application number/council reference OPW 15/014 7 Date issued 19 Nev , AC (BS
Is the approval for a mobile and temporary ERA? & No O Yes — complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating

NA:

3. Nature of request (please tick ALL applicable categories)

[I To change the development O Tochange the development O 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 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 Qld 4565 ABN 97 969 214 121

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