Change Existing Approval Form

a Request to Change Existing Approval and/or
mem NOOSA COUNCIL Extension to Relevant Period
; 2015/16

Sustainable Planning Act 2009

This form must be submitted to Council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.
Please note that for development approvals that include water and sewerage conditions, a Unitywater fee may also apply.

1. Details of person making the request

Full name — individual or company ALTy PROPERTIES NO. 4 PTY LTD Cl- SFP URBAM COUSUTALSS
Contact Name -forcompany (EAUIUE SiIMPSoO/)

Po tal address Po Rox G6

 

 

 

 

“Suburb MAROOCHY DOLE State QU Postcode 499
Business phone 5450 3¢100 A/H phone Mobile
Email address Isimpson@ fp. CUA . Fax

 

2. Details of existing approval

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

Development Permit a Council

Preliminary Approval O Other entity — please specify

Compliance Permit

Material Change of Use

Reconfiguring a Lot

Operational Works

Building Works

Plumbing or Drainage Works

Compliance Certificate

Environmentally Relevant Activity

Application number/council reference 2005 /'\\S3 ee Date issued \/\\/o7

Is the approval for a mobile and temporary ERA? No 1 Yes — complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating

Ooaagogoonggoo

 

 

 

 

 

3. Nature of request (please tick ALL applicable categories)
O Tochange the development [{ To change the development O To extend the relevant period

approval conditions before lapsing

 

 

extension.

 

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.

www.noosa.qid.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121