Idas Form Viridian · 132006.823.07

        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
2 of 5              2013/14 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s