Request to change & cancel conditions 132003.221132.8

                                                                                         V6~003. ~d\1 6::2. ~
             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.

 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.




                                                                                               Mobile

                                                                                               FaxOi

2. Details of existing approval

Type of approval (please tick ALL applicable categories)               Which entity issued approval?
~Development Permit                                                    lY Sunshine Coast Council
0    Preliminary Approval                                              0    Other entity   please specify
                                                                                           -




0    Compliance Permit
~ Material Change of Use
~ 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           2.3bl bDA                 l2006J221l3211Dateissued .24-12/ ~)
                                                                                                                                           -




Is the approval for a mobile and temporary ERA?                                      U 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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