07/1294 - Op Works - Change to existing approval - Ext of Currency [As Published] · 142007.1294.02

‘Owner’ S ‘consent and resource’ owner" ‘S ‘agreement’: _-: .

INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

4. Can the premises best be identified by coordinates (e.g. for development proposed in waters, or on a site within a large rural fot)?

{K] No

(C1 Yes - Complete Table D

5.  Whatis the total area that makes up the premises (ie. the area covered by the application)?

 

 

 

Area of land above high water markoutside watercourse. - -_ |~ - Areaina water body or watercourse a
575.00 py m C1 hectares Om CO hectares
, (Tick applicable unit) (Tick applicable unit)

 

 

 

 

 

 

: : . weg
ad ee Sen noe se Faihee - i

 

   

6. _ Is the person making the request the owner of the land to which the approval attaches?

O Yes Xl No - Complete Table E - provide details for each owner on a separate raw, of on an attachment to this form if appiicable, Note: Advice
provided at the end of this form details when owner's consent is not required.

 

 
 
  

 

 

 

 

 

 

 

Table E
, Owner's name/s and postal: | Details of the premises owned es , | Date written consent
putnam addfess-ceetbib |. (treet address or lot on plan description) 3 | 2 was obtainied =
Karabin Pty Ltd .
4 ACN 100 189 053 Lots 1 - 4,6 & 7 on BUP2665
"| 15 Gear Avenue
MtHelen, Vie 350 ACN 100 194 OFF
RiJ.Selkirk Pty Ltd
2 | cn 006 674 022 Lot § on BUP2665
"| 15 Gear Ave.
MtHelen, Vic. 3350 ALN Cth bTA OLL
The Body Corporate
3 | sandpiper Noosa Heads crsi247e | Cp'prey eaaarty Olle q

 

 

 

 

 

* Owner's signature can not be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessmeft manag
attachment containing appropriate written documentation of the owner's consent. If the owner is a company the company must sign as owner. $127 of the Corporations Act
2001 (Cwealth) details how a company may execute a document.

7. lf an application for the existing approval were being made now (i.e. at the time of making this request), would evidence be required to
support the application because it involved taking or interfering with a State-owned resource prescribed by schedule 10 of the Integrated
Planning Regulation 1998 (IP Reg) or any other regulation

Xl] No a Yes - Complete Table F and submit, with the application, written agreement to the request.

 

iNature-of'the request 95" ah

   

8. Whatis the nature of the request for change? (Jick the applicable box/es)
LX] An extension of the period before an approval lapses (under IPA, section 3.5.22)
(1 To change the development approval other than a change of condition (under IPA, section 3.5.24)

[) To change or cancel a condition of approval (under IPA, section 3.5.33) - Go to Q11

oO To change conditions of a rezoning approval given under the Local Government (Planning and Environment) Act 1990 (under IPA,
section 6.1.35A) - Go to Q712

9. Were one or more concurrence agencies involved in the approval?

[No Yes - Complete Table G. Submit, with the application. a copy of the notice required to be sent to each agency under IPA sections
3.5.22(1)(a) and 3.5.24(1){(b).

 

      

 

i." Each concurrence agency a .
Table G : ; » ‘fuse a separate row. for ‘each noon)? P : Date foie sent .
1 | Department of Environment and Resource Management 4 i \ | 09

 

 

 

 

 

10. Does the request for change relate to an aspect of the approval that involved a building referral agency?

&X No L] Yes - Complete Table H. Submit, with the application, a copy of the notice required to be sca to cach agency under IPA section
3.5.24(1)(0).