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132006.823.7 Development Application part 1 of 2 Request to Change Approval form, idas forms A & form 2 5 Morwong Dr Noosa Heads
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B0358503
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THIS IS THE NEXT PART OF A
MULTIPLE PART RECOR
Part t Of -2-
Application number: 0S z-ac6 - 92-2
T:\I&AM\BCS IAM\INFORMATION MANAGEMENTRECORDS MANAGEMENT\Control of Records\EDRMS\MUhi Part Record Cover Sheet FIRST PART.do
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Page 2
—— ‘< . | ‘Mote: Linder sr ofthe Sareaineble Plang Act 2008 tne Gerson snaking tes eequcst is reauired to give 9 cup ofthis request ko ot Fahne aa
Page 3
es ~obsnilete elther Tables or Table 8 betow
J fre tha oe: eevee th ae all one ‘deiniware-
ae or “
| ic Raa eacaded
tt RA A A
Development Counter
30 MAR 2011
Tewantin
Page 4
INTEGRATED PLANNING ACT 1997 Part A, Versi if
NOTE: Answer all questions unless directed to go to a
Company or orga lNation name (if a
Individual a licant,`Corrtact person (if there is m her one applicant, provide additional applicant d
Title 1 Last '
First name
name
L_
Postal address /.r,9' ®af
Facsimile number
1. Identify the premises by completing Table A, or 7^ bin B and/or Table C (ensure adequate information is given to identify the premises)
It the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go In o2
Name of each local government area in which the mobile and temporary ERA is proposed to operate
Street address for the premises
(I) Rr Street address i lot on plan for the premises (,pons . =ate for most applications including building a,:,:, licatu
(1) Q Street address ;lot on plan for the land adjoining or adjacent to the premises tApprnpriate fr.=r dedetautnant in watere gg.,ctfy, pontoon
efe) (Note: Lot on plan details may be, obtained from title documertss a 'Rate`notice, or from the local govermment )
Street address Lot on plan description
__........ .. _._..___.._.
.
Unit Sheet Post Plartt} peand
No.
Street Name and chic rbrrrb r e liC" name o t r.
tdo. i C ode Plan Number
'-r .111'e>1
AND / OR
Coordinates and/or a map of the premises (Appnoprateford lop, rpa=t of a lot, in v Ater (e.g, r.,haiinei dredohgg in
Coordinates Local government ar
piece each e l ,of ccordnales in, a sc^eamte' m,.e
(Ii appiica
3-P) MARR20VP1
1 *Wtit1n
Page 5
INTEGRATED PLANNING ACT 1997 Pail A. Vera 2030
2. Identify if any of the following apply to the premises by completing Tables D, E, or F. (Notre: to most instances, the premises involve ar:Oy°ot the
folio'I g characteristics, however some appfieebons may involve one or more of these characteristics - cc ; r if applicable)
Complete if the premises are adjacent to or associated with a water body. wt ,rcourse or aquifer (e,g. river, cretss, lab
I Name of water body, watercourse or aquifer (Ifknoa
- ------ - --------------
Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
L o t on plan description for state": Fort auphoritv for the lot
Complete if the premises are in tidal water
Name of local government for the tidal area (lf a tirah,ej Name of port authority for the tidot area
3. Indicate the total area of the premises on which the development is proposed: (Note: The total sea may p crude land both above and -.low -vate'
Total area of premises (lama on which the development is proposed)
.I I n hectares
If m2
emises: (e.g. vacant tar y; house, townhouses, agar; ant t wilding, shop, service station, school, sugar cane farm€ng etc.)
// ,
Are there any existing easements or the premises? .'e.g. our v 'xuiet am:>a, olect « r, ovc random ua retc.)
q No Q Yes_
6. Brief description of the proposal: (e.g 6 unit apartment building. 30 tot residential subdivision, a bore, aquaculture etc.)
7. Does the proposal include new hu. riding work or opernttonal (in ..Jum any s woes) on the premises?
l r6 El Yes
Does the enuire a resource entitlement! rite pro
involves S _ is land ,leased ,,rd old), declared f tsdsrng w h 1 afer;mre ^;:r let ter r :a 2000, etc.;
14o - El Yes
Nature of nt d resource
Nature of evidence required
Alllocatfcn/eri ti";eme to Government I Date of I Data of
refeeo e,?umber Name afatrtftorising nfflcer issue ! etpirlr
Drop ariment
9, Complete Table H for applications in', Ci nit ml ,e t i at change of a _. .^ _ ation of a lot,, work on land below high-watermark and not
within a canal as defined under the Protection and Manage' ,'ient r;, or work on rail corridor land defined under the
Transport Infrastructure Act 1994 -
Premises Owner's namels p-a;- of a i r omrr. t o:,reed Date coqsenc
and postal address ",treat address of :£ on plan dcscc was obtained
Owner's signature cannot be provided on the form :f you: intend to submit the application electronically. C nor's consent must be proviced to the ascesssrner? , is a
attachment containing appropriate written documentation of the owner's consent, it ,wner is a or - s127 of tt e Corporations Act 2001 ,..uses rn; let s r=o;V
company may sign as owner. Temp tes for the provision of owner's consent are as s on the
Page 2
Page 6
P,,TEGRATED PLANNING ACT 1997 Part
oie5Se enSurg r,Foil , 'Or)
[ Desenpkon Tao ter cr information on of delivery to
Title (ifa hcahla)
Part C of Forr, re cif res0urce
Genera Arrtfron?y. Jams Street Ttv/r"tc Rehr?; assessment manager
1._....... (e.5. arAocafir-'
10. The Portable Long r orvlce Leave Levy (PLSL) is not ap..i:, mble to this application if T j of the fv o,Ang apply:
El the application seeks a preliminary approval only;
[ the application is not for building and construction work under the Building and Construction Industry (Portable Long Service Leave)
Act 1991, section 3M (e.g. the application is only for a change of use, or for the following types of work carried out solely for forming purposes:
land clearing, site preparation; earthworks, fences, fodder harvesting clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or
controlling woods or pests);
q all costs; that relate a the work both directly and indirectly, are less than ,J0,000, inclusive of GS
E] the o: k is heir; car s ,,d out under an owner-builder mit issued under the Queensland Build n,7 ces Authority A,:, 1991 -
11. Is pa;merrt cf ra P1-61- levy applicable' it a !,ation? (Refer to cliff and the Advice below for more information,
0;\o El Yes
12. Has the PLSL levy been paid?
I Y.7 Na - {NOTE: An application can be lodged zviarto payment ofthe eppl1 cable PLSL levy, However, thetee and the race/sled term stphte
Assessment Manager before a development permit may be given for this application. To Day the en nd f'rbnrrt a Noftbr af.'o i
an?' Payment Poem to QLear ,.)
For use by the Assessment Manager/Private Certifier) (Optiona
r s Receiving
Date received
officer's name
NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER
Council. I have been engaged as the private certifier for the building w led to in his applicn5on.
Date of engagement BSA Cert rfcation license eumeer uilding classilicgtrrmra
S
EAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or pr;iv. certifier i`applicable)
Date receipted form
Descrtpkon of the work 1 Ql.eave Protect Number sighted by Narrro of o cer wH igl ^ted the `error
assessment manacer i
` The information collected on Form I witi be used by the Department of lntrastructr:re x x." Planning (DIP) in accordance with the orocer sit g and assessment of v r r Appiic -troy
Y;rrr personal details will not be disclosed for a pjupose outside of the IDAS process. except Where recurred by legislation finch ding fire Freedom, o bon Act 1992; or
as required by Parliament, This information may be stored r^ a DIP database. The infcmmatron coitected will be rstaiaed as required by the Public Peccro `.c 01
Page 3
Page 7
I,MTEG 4TED PLANNING ACT 1997 'ch 2008
1. Who is rnai<: req';,=8st?
Company or organisation name (;f eppihcahte)
Individual applicant/Contact person (if there is more than one applicant, rr nsdde a d a; apel
Title First name
Postal address
Contact telepht
Facsimile number
2. What are the de %eils of the approval sought to be changed?
Assessment manager
Type of approval (if request not made to the assessment Tamar;
I' Developrnent Permit
q Preliminay Approval
3. Can iy of , -. zrren ises be identified by a street address or lot on plan description?
q No-
3(a) Does the app caton only involve a rrr)i,Ie and temrarary enviror. ientally rele. ant ac_i^.<ity (ERA)?
[I No - El Yes
Nature of-mobile ard temporary ERA Nu„ re of each local governm-at
L Yes-W
Street address
Local government
Street Post 1 , Pies type acrd Lojar, Comes;
No.
5#eet Nance and oi5^crat ar^but#uoca,rfy nd:n;e Cede F L ot r 3•
O,
Plan I^Uwber
Page 1
I
Page 8
NTEGRATED PLANNING AC r 19t37 Form,. 2, Version 4,1, 3 March 008
3(b) Can the address be further des.-ribedd by i :opftenancy number or storeyllevel?
R' No LI Yes
Shop?tenancy nun t-er Storeyitevel
.._.. ..............
4. Can the premises best be identified co t,,rdinates (e.g. for devcloprne nt proposed is waters, to on a site: withiir, a
[ No fl Yes -
?one Local government or
Datum (if acpliceble)
- ceferenc;;
GDA94 q WGS84
What is the total area that makes up the premises fi.o, to area curs red i=v the application
Area of la pd above high water markioutside watercourse Area in a water body or watercourse
4 hec`eres
a=hem, ;f tl'::~. land to wf:i,;
dawn s ti:,>eli ;?:'
Details of the ' :rnises or' ted
d postal address Signature*
(stipef address or lot on plan desc iioid
z//0", .r. /11V4/131
_._.._._._..
7. If 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 wi d resource prescribed by schedule 10 of the
Integrated Planning Regulation 1998 r1IP Reg) or any other re jt,lation
No Li Yes -
Data written z greement of the chief
Nature of ate-owned --source Rs v i.:z
executive `ryas oota rne'h
i
What is the nature of the request for chap
C1 An extension of the per ed before an approval lapse, :nder IPA, section 3.5.22)
El To change the devNlop t t t approval other than a ha:?ge of condition (under !PA. section 3.5.24)
Q To change or cancel a condition of approval (under IPP., sector 3.5 33)
El To change conditions of a rezoning approval given under the Local Govemrnent (Planning and Environment) Act 11999 (t nhar imA,
coon 6,1,35.4) •
9. Were one or more concurrence agencies involved in the approval?
Owrsr^s signature cannot be provided on the form if you intend to submit the apptication eiectrctricatht. Nner's sa)asen must be pmvidoa 10 the manager, on
an attachment containing appropriate written documentation of the owner's ,orient. it the owner is a company the company must sign as owner. S 127 of the
Corp nations Act 2001(Cwealth) details how a company may execute a document.
Page 2
Page 9
INTEC RATNo
PLANNING ACT 1997 f=orm 2, Vei s in 4.1, ' tarf,h 2008
0 Yes -
Each c 4currence agency
(use a separate row for each ageosy)
I
10. Does the request for change °ct of approval that involved a b_.I°dir ^, eF^= c •al a(;uncY?
No Yes -
11. Wkat are the deta 't of the requested chance a he reasons or justification for the change'?
Details of requested change (inciudina extension of the period if re'er Reasons or jusiifrC ',tan or the requested ci
12. What are f' e mandatory ettachmer;(t and supporting information accompanying this application?
Description of attachment or information Title and date iif pl: z e? Method of delivery to assessment
once to concurrence lbuilding referral agencies, owner's fe.a. James `tree? Traffic Report rror urger
ent, resource owner`s agreement, drawings, reparts)
433062
Date received Reference numbers ost Code rapp#icable (0 rPA only)
I(ERAsI
Advice for completing Form 2
Page 3
Page 10
Company Owner's
IDAS deri
company)
owner of premises identified follows
(irrser street
address; lot anNplan description, or coordinates of the premises the subjec ,a tcn)
consent to the making of a development application under the tryla r tt Plenning
Act 1997 by
rt name of ap tfcar )
on the premises described above for the purposes of
developn7ent, eg material change r?
(star -
2011
(signature of Directorl Compar^y , ec: etaryy)
Signed on theT vev^ 9^^Oay of
Company seat (i s d)
Used in these records
132006.823.7 Development Application part 1 of 2 Request to Change Approval form, idas forms A & form 2 5 Morwong Dr Noosa HeadsRelated documentApplication case desk ↗
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