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1514_2015.12.18_ChangesApplication · 132004.5744

Attached to the e-mail 132004.5744.04 Request to Change Existing Approval - 35 Walter Hay Drive Noosaville.

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Sustainable Planning Act 2009

 

 

Full name — individual or company

Contact Name — for company

Postal address

Suburb Postcode

Business phone —— A/H phone Mobile

 

Email address Fax

2. Details of existing approval

Type of approval (please tick ALL applicable categories) | Whigh entity issued approval?
Development Permit

O Preliminary Approval

{1 Compliance Permit

WY Material Change of Use

O Reconfiguring a Lot

QO

Oo

Oo

qo

Oo

Council

|
i
lo Other entity — please specify
|
i
|

Operational Works

Building Works |
Plumbing or Drainage Works |
Compliance Certificate
Environmentally Relevant Activity —

Application number/council reference ~ 2004/5744 _

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

 

 

 

‘insert the name of each local | government ¢ area in which the mobile and temporary Ef ERA i is 5 proposed | to operate/operating

 

3. Nature of request (please tick ALL applicable categories)
| To change the development O Tochange the development iO To extend the relevant period

approval L conditions | before lapsing

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

 

 

Privacy
Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is authorised to collect

this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your personal information is only accessed by
persons authorised to do so. Your personat information is dealt with in accordance with council's privacy policy.

www.noosa.gid.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121

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Full text of the other 4 pages

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elec exend

 

 

 

 

 

 

5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? BY'No

0 Yes-provide details below

 

 

 

 

 

 

 

 

 

 

 

i. | O Yes— complete either Table A or Table B below

 

 

   

   

 

 

 

Noles = If more thary one owner-of the land all owners’ ‘details are. tequired |

Table A ~ owner's consent provided on form Table B ~ owner’s consent provided on form

‘ i

| Owner's name/s [ror | Owner's name/s ONT CUVEE: a
heen / Lo fone {

"Wwe, the above-mentioned owner/s of the land, consent ‘whe owner's written consent is attached. _

 

-to the making of this request.

 

| Signature/s [poorer aa |
Pnermnenncemnnee T een ieee nen nineteen enamel
i Date
Le anette nee tne anne teeneennenanantanenl

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Page 3

 

 

 

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

/NYNo 10 Yes - complete below details

‘Nature of State owned resource:

 

 

Nature of Evidence required:
ad Evidence of allocation of / entitlement to, the | resource | .OF
/Attach a copy | of the evidence req i

 

 

 

 

 

9. Declaration of applicant
‘IWe, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this

 

 

Date [6 12.1 Li

 

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Payment options

i By mail Cheque or money order to be made payable to Noosa Council.

 

 

 

|G Money order id Mastercard _ (Visa

 

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Page 5

December 18, 2015

To whom it may concern:

RE: NOOSA DONIAIN VILLAGE, 35 WALTER HAY DRV, NOOSAVILLE.

Noosa Domain Pty Ltd as owners of the property at 35 Walter Hay Drive Noosaville (lot 2
SP162077) hereby grant permission to Greg Gibbs Architects to lodge plans and other documents

for an Application for a Change to an Existing Approval

If you would like any further information, please don’t hesitate to contact me.

 
 
  

Yours Sincerely,

Anthony Singleton
Senior Project Manager

Canmty Club Villages

ABN 64 Fath 573 158

7O2 Sunt Sercer. Ballarat

P.O. Box 5210, Ballacac 3350

Ph. 03 53312611

Fax 03 5434 2699

Web: woww.countryclobyilliges.com.an
Email: infog:countryclubvillages.com.au

 

 

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