SUPERSEDED Extension to existing application 07/0616 · 132007.616.2

                                                                                                                                        ^ tow
                                                                                                                                            c;)p ► :i^^[?!I


          lSunshineCoast                                                  Request to Change Existing Approval and/or
           Regional Council                                                           Extension to Relevant Period

          NOTES:                                                                             Which entity issued the approval?
         ALL questions MUST be completed unless the form indicates                                Sunshine Coast Regional Council
         otherwise.                                                                               Other entity - please specify:
         This form must be submitted to Council accompanied by the
                                                                                             Is the approval for a mobile and temporary ERA?
         applicable fee.
         Attach extra pages if there is insufficient space on the form.                           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)    o 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,                                                                3.         Nature of request

                                                                                         Please tick ALL applicable categories
                   Details of the person making the request
                                                                                                 To change the development approval
         Full name - individual or company                                                       To change the development conditions
                                                                                                 To extend the relevant period before lapsing
    I
        Contact name -for company                                                                  Please attach documentation outlining the details of
                                                                                                   and the reasons and justification for the requested
    f                                                                                              change or extension.
        Postal address
                                                                                        4.          Location of the premises

                                                                                        Street address
                                                                                        Unit no.      Street no.   Street name

        Contact phone number                   Fax number - if applicable
                                                                                        Suburb                                        Postcode
I                                          1                                      I
        Mobile number - if applicable

f                                                                                       Lot and plan description
                                                                                        Lot no.       Plan type & plan no.
        E-mail address - if applicable



                 Details of the existing approval

        Type of approval - please tick ALL applicable categories
              Development Permit
                                                                                        S.         Concurrence Agencies                                   -1
             Preliminary Approval
             Compliance Permit                                                          Was there one or more concurrence agendes involved in
             Material Change of Use                                                     the original approval?
             Reconfiguring a Lot                                                                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
                   x3313 DA                             I-- / /               1       L7

    PO-0A-FM401/1-30/04/2010                                                                                                            Page 1 of 2