NC request to change form signed · MCU13/0093

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3. Nature of request (please tick ALL applicable categories)

ly To change the development | O To change the development O Toextend the relevant period
__ approval |___conditions __before lapsing

-- --—-. - I - ee

 

 

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

 
 

4. Location of the premises
UnitNo. 2 StreetNo 50
Suburb Noosa Heads

  
 
 
 

 

2 | SP108800

 

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|
i
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[Dl 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 re copy given
i

 

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
No |DYes_
If yes, please attach a copy of the notice.

 

vem ey ie melted
Is the owner’s consent required for this request? O No : |

1

‘MYes- complete either Table A or Table B below _

 

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

  

Arley ea us onl Tce

sent ecu Rec
Ken Morrison (Qld) Pty Ltd

        

   

Owner's name/s Owner's name/s

   

 

 

| We, the above-mentioned owner/s of the land, consent o The owner's written consent is attached.

| to the making of this request.
| v_! — —~
Signature 7 ©

Date RN, |

 

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___-___— ———

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 eda iaaMe eR Regulation 2009,
Schedule 14?
No
Nature of State owned resource:

! Nature of Evidence ‘required:

    

     

O Yes — complete below details

| | Evidence of allocation of / entitlement to, the resource ‘JOB Evidence the chief executive has agreed to the request
Attach a copy of the evidence required above

NOTES: For question a

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
tequired 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 is Tequired to be given, and the evidence required, to lo support the application. —

 

9. Declaration of applicant :

\We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this
application with Council. Should any of the details given in relation to this application be changed in the future, the
_ applicant shall advise Council in writing prior to any such change being implemented.

Signature/s ; a [Date 18.07.2014

 

 

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‘Application no. | Amount paid Date paid

| Receipt no. Initial Date stamp

 

 

 

 

 

Receiving Officer _

 

 

 

Payment options

In person lg Pelican Street, Tewantin: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail Cheque or money order to be made payable to Noosa Council. i
|O Cheque | 0 Money order | O Mastercard Visa |

  

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