Idas Form Viridian · 132006.823.07

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        To change the development            xTo change the development                          To extend the relevant period
         approval                             conditions                                           before lapsing
Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension. REPORT ATTACHED


4. Location of the premises
Unit No.10105                 Street No 5                    Street MORWONG DRIVE
Suburb NOOSA HEADS                                                           State QLD                       Postcode 4567
Lot no.                       Plan type & plan no.
10105                         SP 190823




5. Concurrence Agencies
 Was there one or more concurrence agencies involved in the original approval?                     No
                                                                                                  X Yes-provide details below
Note – Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence agencies.
Concurrence Agency                                                                                Date copy given
EPA –contamination                                                                                No Notice necessary as change of
                                                                                                  condition sought does not impact on
                                                                                                  agency area of interest. Conditions
                                                                                                  as original outlined in original
                                                                                                  agency response have been
                                                                                                  satisfied
Dept of Natural Resources & Water - vegetation                                                    No Notice necessary as change of
                                                                                                  condition sought does not impact on
                                                                                                  agency area of interest.



6. Pre-request response notice
 Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
x No                                                                   Yes
If yes, please attach a copy of the notice. See Comments above


7. Owner’s consent
Is the owner’s consent required for this request?                    No
                                                                    X Yes– complete either Table A or Table B below
Note – If more than one owner of the land all owners’ details are required


Table A – owner’s consent provided on form

Owner’s name/s                                                            Date

I/We, the above-mentioned owner/s of the land, consent                    Table B – owner’s consent provided on form
to the making of this request.                                            Owner’s name/s          JOHN & JANE GOWDIE
Signature/s
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X The owner’s written consent is attached.




NOTES: For question 7
Under section 371 of the Sustainable Planning Act 2009, if the person making the request is not the owner of the land to which the
approval relates, the request must be accompanied by the owner’s consent.
However, owner’s consent is not required if the approval:
- relates to land the was acquisition land to which section 263(2)(d) of the Sustainable Planning Act 2009 applied when the application
    for the approval was made; or
- is for building work or operational work for the supply of community infrastructure on land designated for the community infrastructure;
    or
- the consent of the owner would not be required under section 263(1) of the Sustainable Planning Act 2009 if a development
    application were made for the requested change.
Also, owner’s consent is not required if the Assessment Manager is satisfied that:
- the number of owners of the land make it impractical to obtain owners’ consent, and the requested change does not materially affect
    the owners’ land; or
- having regard to the nature of the proposed change, the owner has unreasonably withheld consent and the requested change does
    not materially affect the owner’s land.


8. Does the request involve a State resource prescribed under the SustainablePlanning Regulation 2009,
Schedule 14?
x No                                                                Yes – complete below details
Nature of State owned resource:
Nature of Evidence required:
 Evidence of allocation of / entitlement to, the resource           Evidence the chief executive has agreed to the request
Attach a copy of the evidence required above
NOTES: For question 8
Section 370(3) and (4) of the Sustainable Planning Act 2009 requires that if an application for the development approval were made at
the time of making this request and evidence under section 264(1) of the Sustainable Planning Act 2009 would be required to support
the application, this request must be accompanied by the written agreement of the chief executive from whom evidence would be required
under section 264(1).
Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a State resource, a regulation may require the
application to be supported by certain evidence prescribed under regulation. Schedule 14 of the Sustainable Planning Regulation 2009
prescribes the State resources for which evidence is required to be given, and the evidence required, to support the application.


9. Declaration of applicant
I/We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this application
with the Sunshine Coast Regional Council. Should any of the details given in relation to this application be changed in the
future, the applicant shall advise the Sunshine Coast Regional Council in writing prior to any such change being
implemented.
                                                                                                      Date 27 NOVEMBER 2013

Signature/s




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OFFICE USE ONLY
Application no.      Amount paid           Date paid             Receipt no.          Initial               Date stamp


Receiving Officer




Payment options
In person    Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail      Cheque or money order to be made payable to: Sunshine Coast Regional Council.
              Cheque                          Money order                     Mastercard                   Visa
             Card number                                                       Expiry date                   Amount $
             Name on card                                                      Signature of cardholder

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         Phone                                                        Is a receipt required?           Yes           No




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