132005.1133.2 Extension to relevant period - Noosa Springs Precinct F

 Sunshine Coast                                              Request to Change Existing Approval and/or
 Retp _,i       ^_.:DUJiCil                                         Extension to Relevant Period

NOTES:                                                                 Which entity issued the approval?
ALL questions MUST be completed unless the form indicates              J      Sunshine Coast Regional Council(AOOb . (                 ;ti)
otherwise.                                                                    Other entity - please specify:
This form must be submitted to Council accompanied by the
                                                                       Is the approval for a mobile and temporary ERA?
applicable fee.
Attach extra pages if there is insufficient space on the form.                   No
If Council was the Assessment Manager for the existing approval,                 Yes - complete below
and the approval was issued by the Court then:-                        Insert the name of each local government area in which the
(a)     a request to change the development approval and/or            mobile and temporary ERA is proposed to
        conditions is made to the Court, and
                                                                       operate/operating.
(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.                                                       3.           Nature of request

                                                                       Please tick ALL applicable categories
C         Details of the person making the request
                                                                                 To change the development approval
Full name - individual or company                                                To change the development conditions
                        ?r'1 (-TO (- kNA o(vEL4l'1                               To extend the relevant period before lapsing
Wc
                                       M.atrJ/t GEQS                              Please attach documentation outlining the details of
Contact name -for company
                                                                                  and the reasons and justification for the requested
ScoTr          So6EY                                                              change or extension.
Postal address
                                                                       4.           Location of the premises
O Sox 4.39D
                                            & -,7                      Street address
MAR OCA' f D acf 6 C-
                                            Postcode 4- SS g           Unit no.       Street no.   Street name

Contact phone number                Fax number - if applicable
                                                                                                     LEwE ne l v E
                                                                       Suburb                                         Postcode
dt X4322844                         Iv1 5443 7l4
                                                                       N o^R ^tEPf                                            67
Mobile number - if applicable
                                                                       Lot and plan description
                                                                       Lot no.        Plan type & plan no.
E-mail address - if applicable
                                                                                      SP l 1}3323
5 Cott . Saac., P ke^k4 clams. co.," . cu e

C         Details of the existing approval

Type of approval - please tick ALL applicable categories
       Development Permit
                                                                       5.           Concurrence Agencies
       Preliminary Approval
       Compliance Permit                                               Was there one or more concurrence agencies involved in
       Material Change of Use                                          the original approval?
       Reconfiguring a Lot                                                       No
       Operational Works                                                         Yes - provide details below
       Building Works                                                  Note - Under s372 of the Sustainable Planning Act 2009 the person
       Plumbing or Drainage Works                                      making the request is required to give a copy of this request to all
                                                                       concurrence agencies.
       Compliance Certificate
       Environmentally Relevant Activity (ERA)                         Concurrence Agency                             Date copy given

Application number             Date issued                                  PAR      t^J   eE CNvf 2g f fr                           Zoll
                                                                        A►.)i)      /C 5     CL    I►MNNLti.^cEnl-i       /      /
Z 001         1133                                                                                                        /      /




PD-DA-FM401/1-30/04/2010                                                                                                Page 1 of 2