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Request change to an approval 152004.240078.4
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Coast 2012/13 Regional Strategy and Planning
ISunshine
Council Request to Change Existing Approval and/or Extension to Relevant Period
Sustainable Planning Act 2009
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!(b),a req stJo extend the rerev!int period fot tf~:~’~~!lyatis m~d~Jo C~~; ~":’~~i.’; ’~(;. "’ :.
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All terms us’act on the fonn h~v~’the meanlng...!t. e~ i\.the S!lst~i",able’ ~ ~nfng A.ct.2009:~r the Sustai~<able Plannin{ ~’eQuration, J
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1. Details of person making the request
i Full name individual or company MAX WAT"r""E:R.So .sI A.r.foc..,A ~ ;
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~ Contact Name for company tv(
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: Postal address Pc 80)< 63!}
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: Business phone 07 .tf42. 6f’l.-l A1Hphone tJ7 .:(42. OLI
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Email address O.{fI’U_1I:J
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2. Details of existing approval
i Type of approval (please tick ALL applicable categories) !Whjph entity issued approval?
: ~Development Permit I [("Sunshine Coast Council
I 0 Preliminary Approval !0 Other entity please specify -
1 ~ ~::~~~~~:~::i~se I
i [3’" Reconfiguring a Lot i
i 0 Operational Works I
i 0 Building Works I
Plumbing or Drainage Works i
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I 0 Compliance Certificate
i 0 Environmentally Relevant Activity 1 Dat~-is~~;j- ?4J
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i Is the approval for a mobile and temporary ERA? ff No 0 Yes -
complete below I
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I Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating I
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I.Privacy with you. Council is
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Council will use any personal information provided for the intended purpose only and for remaining in contact i
I authorised to collect this information in accordance with the Local Govemment Act 2009 and other Local Government
Acts. Your
is dealt with in accordance with
: personal information is only accessed by persons autho sed to do so. Your personal information .
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Relevant Period FM3002s
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