NC Permissible change form Signed · 132004.240098

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4. Location of the ideas

Unit No. 3 | Street No- _ 229-231 Street _ Gympie Terrace

    

‘Suburb | Noosaville. _ ; ‘State aid 7 "Postcode 4567 7
EBay ew elem ee
083s 188227

 

   

5. Concurrence Agencies

_ Was there one or more concurrence agencies involved in the original approval?

 

 
     
 
 
 
    
   
 
 

ee ad Sasa details b below

“Note — - Under 372 of the Sustainable Planning Act 2009 the person m making the request is required to give a copy of this request to all |
| concurrence agencies.

Concurrence Agency Date copy given

 

     

 

{

| Has a pre-request respon

No

   

CeO eels

iIs the owner's consent required for this request? ‘ONo

id Yes- es— complete either Table A or ‘Table Bbelow =
| Note — If more than one owner of ‘the land all. ‘owners’ details are 2 required |

 

Table B — owner's consent provided on form

| Owner’ 's name/s

  

Table A — owner's consent provided on dat
NoasA AGM TREE doconuas Ye
lait - “the 233 Gumhe Tce Abpsnville THUS a

mene above-mentioned owner/s of the land, consent a The owner's written consent is attached.
to the making of this request. oe — OO

 

| Owner s name/s

 

 

  

| Signature/s

| Date

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Page 3

 

‘NOTES:Forquestion? = = Pore eae oro a .
Under section 371 of the Sustainable Planning Act 2009, if the person making the request is not the owner of the land to which the
approval relates, the request must be accompanied by the owner's consent.

However, owner's consent is not required if the approval: |
- relates to land the was acquisition land to which section 263(2)(d) of the Sustainable Planning Act 2009 applied when the |
application for the approval was made; or |
- is for building work or operational work for the supply of community infrastructure on land designated for the community | |
infrastructure; or |
- the consent of the owner would not be required under section 263(1) of the Sustainable Planning Act 2009 if a development |
application were made for the requested change. |
Also, owner's consent is not required if the Assessment Manager is satisfied that:
- the number of owners of the land make it impractical to obtain owners’ consent, and the requested change does not materially |
affect the owners’ land; or
- having regard to the nature of the proposed change, the owner has unreasonably withheld consent and the requested change | |
_does not materially affect the owner's land. |

request involve a State resource prescribed under the SustainablePlanning Regulation 2009,
Schedule 14

 

oO Yes - complete | below details

Nature of State owned resource:

Nature of Evidence required: _
O Evidence of allocation of ! entitlement to, the resource oO Evidence, the chief. executive has agreed to the request

‘Attach a copy of the evidence required above _
NOTES: For question 8

|
Section 370(3) and (4) of the Sustainable Planning Act 2009 requires that if an application for the development approval were made at |
the time of making this request and evidence under section 264(1) of the Sustainable Planning Act 2009 would be required to support |
the application, this request must be accompanied by the witten agreement of the chief executive from whom evidence would be |
required under section 264(1). |
Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a State resource, a regulation may require |
the application to be supported by certain evidence prescribed under regulation. Schedule 14 of the Sustainable Planning Regulation |
2009 prescribes the State resources for which evidence is required to be given, and the evidence required, to support the application.

9. Declaration of applicant

\We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this |
application with Council. Should any of the details given in relation to this application be changed in the future, the,

| applicant shall advise Council iti rior to any such change being implemented.
‘Signature/s sl Date 2SIS ME

 

 

  

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| Application no. | Amount paid 7 Date paid : Receipt ‘no. _Initial _ _ Date stamp

  

[Receiving Officer

Payment options

iin person | '9 Pelican Street, Tewantin: 8.30 am to 4.30 pm Monday to ) Friday (excludes public holidays).

| | By mail Cheque or money order to be made payable to Noosa Council. —
Oo Cheque o Money | order =) Mastercard O Visa

All payments made by credit card will incur a 0.50% surcharge (exempt of GST) to reflect the cost of fees.
charged for credit card transactions.

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