Request to Extend Relevant Period 132007.616.03

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OFFICE USE ONLY

Application no.          Amount paid                                                         Initial               Date stamp’

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Receiving Officer


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Payment options
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In person       Custo~er service centres: 8.30          am   to 4.30 pm Monday to Friday (excludes public holidays).

By mail         Cheque or money order to be made payable to: Sunshine Coast Regional Council.

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                D Cheque                          I D Money order                   D Mastercard                     DVisa
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                Card number                                                         Expiry date                      Amount $

                Name on card                                                        Signature of cardholder
                Phone                                                               Is a receipt required?           DYes               D No
4 or 4                   2013/14 Re9lonal Strate gy and Plannin9 Req uest to Chan9e EXlstin 9 A pp roval and/or Extension to-Refevant Period FM3002s