Development Application Documents Part 1 of 1 - Form & Letters · 142006.2159.3

Sunshine Coast Request

to Change Existing Approval and/or

Extension to Relevant Period

 

NOTES:

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.

Ee
Full name — individual orcompany ,
(Perowe + AVS Faldmana

Contact name — for company

L

Postal address
ae K (IU
2Or

 

 

 

 

Details of the person making the request ]

 

 

 

“ia ct

 

 

Whigh entity issued the approval?
Sunshine Coast Regional Council

Other entity — please specify:

 

 

 

Is the approval for a mobile and temporary ERA?

No
Yes — complete below

 

 

 

 

Insert the name of each local government area in which the
mobile and temporary ERA is proposed to
operate/operating.

 

 

 

 

ES

Please tick ALL applicable categories

Nature of request

 

To change the development approval
To change the development conditions
To extend the relevant period before lapsing

 

 

 

 

 

Please attach documentation outlining the details of
and the reasons and justification for the requested
change or extension.

 

Location of the premises ]

[a

 

 

 

 

 

 

 

 

 

 

A 2s a Street address
Postcode A} (1 Unit no. Streetno. Street name
Contact phone number Fax number - if applicable L = [5 [| CvdIZA o eer |
7 ONE ubur! ostcode
[faarsk1? __lUTlseaySsah | | ( Wagia Heads | A2xGT 1
Mobile number - if applicable
[ O4\2d 66 G SL 2 ) | Lot and plan description
‘ Lotno. Plantype&planno. ,~  / :
E-mail address — if applicable A Do
olerce clLibnaia Coma) | ead rl 21649 COT)

 

 

[2. Details of the existing approval ]

— please tick ALL applicable categories
Development Permit
Preliminary Approval
Compliance Permit

Material Change of Use

Type of approval

 

 

 

 

 

Reconfiguring a Lot

 

Operational Works
Building Works
Plumbing or Drainage Works

 

 

 

Compliance Certificate | y
Environmentally Relevant Activity (ERA)

 

 

 

 

 

Date issued

a) |

Application number

[ 2206

 

C \\(Wablthere one

 

mK
Wy

| ay, : 7p
_{s—__|Concurrgnte Agencies —

 

 

 

 

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ore appcurrence agencies involved in

 

 

 

 

 

the original appreyal 1),
oh
Yes 4 provide debs
Note Under s372 of the Sustainabte Planning Act 2009 the person
making the request is required to give a copy of this request to all
concurre! gencies.
|

Pert ot Agency Date copy given

 

 

 

 

 

 

1Y200¢ pS G. S.

 

PD-DA-FM401/1-30/04/2010

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