Change to an Existing Approval-132009.325.01

     Sunshine Coast                          2011/12 Regional Strategy and Planning
     Council Request to Change Existing Approval and/or Extension to Relevant Period

                                                                                                                       Sustainable Planning Act 2009
  ALL questions MUST be completed unless the form indicates otherwise.
  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) 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 Sustainable Planning Act 2009 or the Sustainable Planning Regulation
 2009.




Full name individual or company                                                            jOyr
                                                 _._'j^                              <G
Contact Name - for company                      Aj'V'^ 511
Postal address
Suburbmm                                                                                  State                             Postcode
Business phone                         /             y A/H phone                                            -Mobile    a 3               -9
Email address                                                                                               Fax       07- .r--


12. Details of existing approval
Type of approval (please tick ALL applicable categories)                         Which entity issued approval?
      Development Permit                                                         q    Sunshine Coast Council
q     Preliminary Approval                                                       &Y" Other entity - please specify
q     Compliance Permit
[     Material Change of Use
q     Reconfiguring a Lot
q     Operational Works
q     Building Works
q     Plumbing or Drainage Works
q     Compliance Certificate
q     Environmentally Relevant Activity
Application number/council reference
                                   _...__..._._.__1___....... L                                                        ;bate issued
                                                              . _. . . . ,"2,,
Is the approval for a mobile and temporary ERA?                                                   fia' No               q   Yes - complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating




Privacy
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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.


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