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Submitting Supporting Documentation Form REC11/0145
SCRC CORRESPONDENCE
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Regional Strategy and•Planning
Submitting Supporting Documentation Form
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Surname Kj tI, id le &/ t:7 1) Given names RECEI p
Postal address NFi?S Zi ^l '7 7)
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Suburb State I Postcode 11
Business phone A/H phone Mobile SC(3C Izr
Email address Fax amnour
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Business name LAn/DP A, :I€S 4.1 /"1 7T
Postal address ,9p 6p)(
Suburb B,Q,(!^BH,v.F- State
Preferred contact person Sf rre Sm 1 771
Business phon^a'^3^y 2 / Cao l Altemate phone
Email address
3. Declaration
,4,I,_ A_ DE f1 , I CO R
Am submitting the attached q CD and/or Documents
On / /2 // (today's date) in support of application number ReG 1 I Ol L., .5` -
I hereby certify that what I am submitting at this time is a true, genuine and complete copy of the information previously
Lsupplied by:
q e-mail
PTIC-D
I21 and copy
on /6 1 a= (date - today's date if you are submitting items at the same time).
I understand that t e first c opy submitted of any information is the legal binding document captured in Council's
records management data and used for assessing and determining development applications.
Date lc^^l2 ^/i
rNT747
11-11
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q 1 CD (in PDF format with each document not exceeding 40MB) plus five (5) hard copies of each document (for
Development Application). ,
q 1 CD (in PDF format with each document not exceeding 40MB) plus three (3) hard copies of each eeirda ^^ for
Building Application)
additional copies of plans/information PLI9i1n/I -JG AGOL/ c^9Y7vim/
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Privacy
Council will use any personal information provided for the intended purpose only and for remaining in conta^^*4 ^ A U cil
authorised to collect this information in accordance with the Local Government Act 2009 and other Local Gover m° n6,^ds:- .fir
personal information is only accessed by persons authorised to do so. Your personal information is dealt with in a
council's privacy policy.
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www.sunehi scoastgld.gov au I maif hinecoast.gld.gov.au I T 07 5475 7272 F 07 5475 7277
Locked Bag 72 Sunshine Cops/ Mail Centre Qid 4560 ABN 37 876 973 913
CabuMra office 1 Omrsh Avenue Calotrtdm Qid 4551 Itaroochydore offroe 11-13 Ooean Shoot Maroocrydore Qid 4558
Narnbour office Crr Currie and Btay Streets Nmnboir QId 4560 I Tewantin offlcs 9 Pelican Street Tawentin Qid 4565
1 of 1 Regional Strategy and Planning 6ubmitting Supporting Documentation Form FM282/3/24/06/2011
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P. Nature of request (please tick ALL applicable categories)
q To change the development 0 To 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.
4. Location of the premises
Lot no. Plan type & plan no.
5. Concurrance Agencies
Was there one or more concurrence agencies involved in the original approval? q No
[ovide 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
.
kW - SVGS I 0 Aj P►2.a ^
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 --- q Yes
If yes, please attach a copy of the notice.
7. Owner'consent
Is the owner's consent required for this request? q No
es- 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
Date
Owner's name/s
Table A - owner's consent provided on form
I/We, the above-mentioned owner/s of the land, consent
Owner's name/s
oNOrvIW L2
to the making of this request.
Signature/s F/ The owner's written consent is attached.
S p v1wNING fl-PPt-I C'°Ir^To r j
2 of 4 2011/12 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401
Page 3
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 lo 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?
I?' No q Yes - complete below details
Nature of State owned resource:
Nature of Evidence required:
q Evidence of allocation of / entitlement to, the resource q 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
LAW[ QTnlf U ryl' 7 ,F
D Date
3 of 4 2011/12 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401
Page 4
OFFICE USE ONLY
I 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.
l q Cheque q Money order q Mastercard q Visa
Card number Expiry date Amount $
Name on card Signature of cardholder
Phone Is a receipt required? q Yes q No
4of4-Z !TTRegional Strategy and -Planning Request to Change Existing Approval an or ztensionTo FRelevan[tTeriodF-Wu
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