132006.823.7 Development Application part 1 of 2 Request to Change Approval form, idas forms A & form 2 5 Morwong Dr Noosa Heads

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
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