Change to Approval Part 1 51992.657.01

Page 2

| Sunshine Coast

 

 

   

otherwise. -:
This form must.be submitted to Coie ncediipaied by. ihe
applicable fee.

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

if Council was.the Assessment Manager. for the existing approval,
and the approval was issued by. the Court, then:-

ignge the development approval and/or

to the Court; and.

 

 

  
 
 

 

All terms used on the form'have the meaning given'in the
Sustainable Planning Act 2009 or the Sustainable Planning
Reguiation 2009: .

 

 

 

 

az: Details of the person making the request

Full name ~ individual or company

 

[ PACIFIC %CHEh

Contact. name — for company

 

LDN  CGheHar ‘ Z|

Postal address

 

LO: OO
NOOSAWIALAZ BC Postcode meee

Contact phone number Fax number - if applicable

     

x IG OL.

 

 

 

[FAC AMIS 2O L SHIASS XX
Mobile number — if applicable

 

LOn76 S72 S3E
E-mail address - if applicable

 

lrlete Patsfie Lege. Cina ak |

(2... < Details of the existing approval
Type of approval ~ please tick ALL applicable categories

 

Development Permit
Preliminary Approval
Compliance Permit
Material Change of Use
Reconfiguring a Lot
Operational Works

Building Works

Plumbing or Drainage Works

 

 

 

 

 

 

 

 

Compliance Certificate

 

Environmentally Relevant Activity (ERA}

 

 

 

 

SIPF ALS 7-

Request to Change Existing Approval and/or
Extension to Relevant Period

Which entity issued the approval?

\/ | Sunshine Coast Regional Council
Other entity - please specify:

 

 

 

Is the approval for a mobile and temporary ERA?
No
Yes — complete below

 

 

 

 

 

Insert the name of each local government area in which the
mobile and temporary ERA is proposed to
operate/operating.

 

 

 

[ 3. Nature of request

Please tick ALL applicable categories

w | To change the development approval

To change the development conditions

To extend the relevant period before lapsing

 

 

 

 

 

 

Please attach documentation outlining the details of
and the reasons and justification for the requested
change or extension.

 

[4 Location of the premises . 7 |

Street address
Unit no. Streetno. Street name

LS as Te

Suburb

N@@5/- Ady a

Lot and plan description

_Lotno._ Plan type & planno.
33. GT. Soa

 

 

 

 

 

 

(5. Concurrence Agencies

Was there one or more concuriee
the original approval?

ut No
Yes — provide details beiow
Note — Under 5372 of the Sustainable Planning Act 2009 the person

making the request Is required to give a capy of this request to all
concurrence agencies.

 

 

 

 

Concurrence Agency Date copy given

 

Application number Date issued

| SLIG2 “GST. [7

PD-DA-FM401/4-30/04/2010

 

 

 

 

 

LE
a:
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o|

Page 3

 

16 Pre-requeést response notice “

Has a pre-request response notice been given by a relevant
entity (e.g. a concurrence agency) for this request?

WY | No

Yes

\ {f yes, please attach a copy of the notice.

 

 

 

 

 

8. Does the request involve a State resource
prescribed under the Sustainable Planning
Regulation 2009, Schedule 14?

 

No

 

 

Yes — complete Table C below

 

 

Table C- State owned. resource

 

 

  

Is the owner's consent required for this request?
No
. Yes— complete either Table A or Table B below

Note — If more than one owner of the land all owners’ details are
required.

 

 

 

 

Nature of State owned resource

 

Nature of evidence required .
Evidence of allocation of /entitlement to, the resource

 

 

 

Table A= ownet’s consent provided on form

 

 

Evidence the chief executive has agreed he request

 

 

\ Attach a copy of the evidence required above.

 

Owner's name/s LEE AOPICHE TS

 

ALETT PAS

 

i/We, the above-mentioned owner/s of the land, consent to
the making of this request.

 

Signature/s

 

 

Date

 

 

 

 
   

 

 

Owner’s name/s

Z ee Y Tah

 

 

| The owner's written consent is attached.

 

 

NOTES:'For question 7 dee

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 bythe owner's ‘Ss

consent,

However, a

° “relates t
263(2)(d):of the: Sustainable Plan ning, ‘Act.2009:gpplied. when .
the application for: the ‘approval was madé;'or

° is for: ‘bullding: work or eae al: work for the’ supply Bh

 

 

“affect t he! wners! ‘land: On...
° » hawing regard to the nature of. the proposed. change, the owner,

   
 

 

does not materialafh sowner'sland: «| eo

 

 

PD-DA-FM401/1-30/04/2010

 

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. Applicant’s declaration . __l

 

Signature/s:

Z ee ee,

By making this request, | declare that all jAformation in this
request is true and correct.

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