0015282D.001

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           _INTEGRATED PLANNING ACT 1997                                                                                          Form 2, Version 3.3, 29 2006
           ‘Applicant details                        12.  Name:
           Clearly Identify who Is making the application.  Noosa Palm Treet Hotel Joint Venture C/- Martoo Consulting Pty Ltd
           The applicant need not be the owner of the
          land.                                      13.  Postal address:
           The applicant s responsible for ensuring the     PO Box 1684
            information provided is correct. The           .
            assessment manager, any referral agency and | 14. Signature:                                                      15.  Date:
            the Chief Executive (where applicable) will rely
            on this information when assessing and                                                                                   May 2007
            deciding the application.                                                         ~~
            If the applicant is a company
            A contact person must be shown. Afl      16.  Contact person:
            correspondence will be mailed to this address.  Hannah Blue
                                                     17.  Telephone number:                          18.  Mobile number: (if appticable
                                                            §455 5425
                                                     19.  Fax number: (if applicable)                20.  Email address: (if applicable
                                                            5455 5725                                       [email protected]
            Land owner!s consent (if applicable)     21.  Land owner's consent:
            Sesmnas20)iteraroniestaite |                 ['             vameinFul «Signature ale
            ‘and owner's consent must be provided if the
            newavsewee                           |          [0   See atacned                      |                                    |
            person making the request to change an          :
            For information about land owners refer to      7
            Guide 1 Making an IDAS development              (ii)
            application.
            mobile or temporary ERA.
            if an owner has signed this form as             (iv)
            applicant, their signature is not required again
            in this section.
            lf there are multiple owners, the consent of
            each owner is required.
            Resource entittement (if applicable)     22.  At the fime of the request, would a development application for the approval have required
            Sections 3.5.22(4) & (5), 3.5.24(38) & (3C),  evidence of resource entitlement?
            and 3.5.33(3B) & (3C) of the IPA may require
            the written agreement of a resource manager if EX] NO - goto a24                      L] YES - goto 023
            the request involves a prescribed State            ;                    ;             s                         :         :
            resouroe, if when the request was made a 23.  Is this request accompanied by the written agreement of the chief executive from whom the
            development application for the approval would evidence is required? (tick the applicable box)
            have required evidence of resource entitlement [[] NO - the written agreement of the chief executive must accompany this request
            under section 3.2.1(5) of the IPA.             oO  YES
            Nature of the request      .             24.  This request is for:
            see       may request to modify an existing    [_] An extension of the relevant period for the development approval (s 3.5.22)
                    ,                                      [_} To change or cancel conditions (s 3.5.33)
                                                               To change the development approval {other than a change of a condition) (s 3.5.24)
                                                           (LJ A change to conditions of a rezoning approval given under the P&E Act {s 6.1.354)
                                                     25.  Provide details of, & justification for, the proposed modification
                                                             Please refer proposal report

            Concurrence agencies                     26.   Did the previous application involve concurrence agencies or building referral agencies?
            Under s3.5.22(1}(a) & 3.5.24(1}(a) of IPA, a    X NO
            copy of this request must be forwarded to each                                   .                                            —
            concurrence agency for the previous            C) YES - fist the concurrence agencies who have been sent a copy of the request for modification
             tie assesoment manager
             the assessment manager.                        (i)
             Note: "No" will aways apply toa request to
             under the P&E Act.