Extension Application Form

                                                                                              Extension to Currency Period

                                                                                                                                  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 Andema Pty Ltd
Contact Name C/- Connor O'Meara
Postal address Level 4, 10 Eagle Street
Suburb BRISBANE                                                                       State QLD                          Postcode 4000
Business phone 07 3221 3033                                                   Mobile
Email address [email protected]                                                         Fax 07 3221 6661

2. Owner’s consent
Is the owner’s consent required for this request?                   No              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.                          Street No         6               Street      Heron Street

Suburb      Peregian Beach                                                            State     QLD                      Postcode 4573
Lot no.                           Plan type & Plan no.
    69                                     P 9313



4. Details of existing development approva subject to this extension applicationl
Approval Type                              Application number                         Date issued               Entity that gave the
                                                                                                                development approval
     Development Permit                        MCU/11/0266.01                              07 April 2016           Noosa Shire Council
     Preliminary Approval

5. Further details
Provide the currency period for this development approval
Lapses on 5 June 2020
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.

Please see attached letter.




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.qld.gov.au                                    [email protected]                                  T 07 5329 6500
PO Box 141 Tewantin Qld 4565                                                                                   ABN 97 969 214 121

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