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Request to Change Existing Approval and/or

Extension to Relevant Period
2014115

[ Deveros =mortnanestauy
Development Couns

 

Attach extra pages if there is insufficient space on the form.

 

2009.

ALL questions MUST be completed unless the form indicates otherwise.
This form must be submitted to Council accompanied by the applicable fee.

if Council was the Assessment Manager for the existing approval, and the a roval was ‘ssued by the Court, then:- -
(a) a request to change the development approval and/or conditions is made fo the Court; and

(b) a request fo extend the relevant period for the approval is made to Council. — san
All terms used on the form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning Regulai jon

GATEY

 
   
     

27 MAR 2015

 

ewantin

 

 

Full name — individual or company
Contact Name — for company
Postal address

Suburb

Business phone ©

Email address

 

OWNER.

Postcode
\

  

2. Details of existing approval

Type of approval (please tick ALL applicable categories)
O Development Permit

01 Preliminary Approval

O Compliance Permit

)&\, Material Change of Use

OQ Reconfiguring a Lot

————} 8 Operational Works

Whigh entity issued approval?
| Council

C1 Other entity -- please specify

 

O Building Works

O Plumbing or Drainage Works

O Compliance Certificate

Q Environmentally Relevant Activity

 

 

Application number/council reference

MCU [2 [OOVA

Date issued A{\\t 17

 

Is the approval for a mobile and temporary ERA?

 

Ja, No

O 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 persona! information is only accessed by
\_ persons authorised to do so. Your personal information is dealt with in accordance with council's privacy policy. —

www.noosa.gid.gov.au [email protected]

PO Box 141 Tewantin Qid 4565

T 07 5329 6500
ABN 97 969 214 121

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