132009.1102.01- Request to Change to Existing Approval

    Sunshine Coast                           2011/12 Regional Strategy and Planning
    CoUn1Cll Request 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.


1. Details of person making the request
Full name - individual or company           Ale v' K          Hol-binlr{ S           P 71   y     IL 7-0
Contact Name - for company
Postal address C/ Mq,TQo    C-                        S UL /                7`       A c'< / (c -(1
Suburb     A/ ooSA   H EiQl                                                  State                              Postcode
Business phone        SV SS sod \   A/H phone                                                   Mobile
Email address         '  d inQ    _J'^^   O^ L)Y                    o If& CA ->-"               Fax        '        SS S7 7-2S-


2. Details of existing approval
Type of approval (please tick ALL applicable categories)              Which entity issued appr val
&"'Development Permit                                                 l    Sunshine Coast 9unc "
q    Preliminary Approval                                             G3'' Other entity - n .ace ,znerifv 0I,

q    Compliance Permit                                                                                               "5,>3

q    Material Change of Use                                                                                                  e"f
q    Reconfiguring a Lot
                                                                                                                     'J :0          C°i
q    Operational Works                                                                                                       Ip>>      ^1rEa^,
                                                                                                               ^0
q    Building Works                                                                                             cll^
q    Plumbing or Drainage Works                                                                                        V
q    Compliance Certificate
q    Environmentally Relevant Activity
Application number/council reference           ._,)c-c%   / II d d                                          Date issued             -^3^o I c,
Is the approval for a mobile and temporary ERA?                                      D' No                  q       Yes - complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating




Privacy
Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is
authorised to collect this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your
personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with
council's privacy policy.


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