08/1159 - Application for extension [As Published] · 172008.1159.02

 l Sunshine Coast                                             Request to Change Existing Approval and/or
                                                                     Extension to Relevant Period

 NOTES:                                                                 Which entity issued the approval?
 ALL questions MUST be completed unless the form indicates              V     Sunshine Coast Regional Council
 otherwise.                                                                   Other entity - please specify:
 This form must be submitted to Council accompanied by the
 applicable fee.                                                        Is the approval for a mobile and temporary ERA?
Attach extra pages if there is insufficient space on the form.          V     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 hove the meaning given in the
 Sustainable Planning Act 2009 or the Sustainable Planning
 Regulation 2009.                                                       3.         Nature of request

                                                                        Please tick ALL applicable categories
 1.          Details of the person making the request
                                                                              To change the development approval
 Full name - individual or company                                            To change the development conditions
I £l 1Z.eaIT++             NrA#.iE '                                          To extend the relevant period before lapsing

 Contact name -for company                                                        Please attach documentation outlining the details of
                                                                                  and the reasons and justification for the requested
                                                                                  change or extension.
 Postal address
                                                                        4.         Location of the premises
  21 TVJ0ST4 LL A VFJ.DI3
  k i tUb 'FEDQ-D tU5%J 2.032                                           Street address
                          Postcode                                      Unit no.     Street no.   Street name
                                                                                        IL'          Lot? IitMI=T -D21O6
 Contact phone number                 Fax number - if applicable
                                                                        Suburb                                        Postcode
oz 9663 2 S3
 Mobile number - if applicable
 Z)¢07 ( (c3 2-4S                                                       Lot and plan description
                                                                        Lot no.      Plan type & plan no.
 E-mail address - if applicable
                                                                                      93 127
   (^/r7 s 4                F      Corn . A LL

 2.          Details of the existing approval
 Type of approval - please tick ALL applicable categories
          Development Permit
                                                                        5.         Concurrence Agencies
      1   Preliminary Approval
          Compliance Permit                                             Was there one or more concurrence agencies involved in
          Material Change of Use                                        the original approval?
          Reconfiguring a Lot                                           V     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
                                                  5z/ 7/?o0$




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