Request Change to Development Approval (17107 DA) 1399.982748.01

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                   Coast
        ’Isunshine
         Council Request
                                                                                   2011/12 Regional Strategy and Planning
                                         to Change Existing Approval and/or Extension to Relevant Period



                                                                                                                            Sustainable Planning Act 2009

        ALL questions MUST be completed unless the form indicates otherwise.                   .":   ~Jrt_~~’l:\c’ti.
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        This form must be submitted to Council accompanied by the applicable fee.                                ~

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        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:

    i   (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.




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    Business phone                                                                                         Mobile

    Email addressY.1Oct.Vi ~                                                                               Fax                ,1~S-


    2. Details of existing approval

    Type of approval (please tick ALL applicable categories)                  Which entity issued approval?

    ~Development Permit                                                       0    Sunshine Coast Council

    0      Preliminary Approval                                               ~Other entity          -

                                                                                                       please specify
    0      Compliance Permit
                                                                               ’N.oo6~                 Lou~L
    0      Material Change of Use

    0      Reconfiguring a Lot
    0      Operational Works
    0      Building Works
    0      Plumbing or Drainage Works
    0      Compliance Certificate
    0      Environmentally Relevant Activity
    Application number/council reference             \-,~                :D~                                                I Date issued ’1-~.( J_~.




    Is the approval for a mobile and temporary ERA?                                        [
                                                                                           No                                0   Yes   -

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


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