08/0383 - Change a Development Approval [As Published] · 142008.383.02

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INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

4. Can the premises best be identified by coordinates (e.g. for development proposed in waters, or on a site within a large rural lat)?

(J No
(] Yes - Complete Table D

Table 0

 

Coordinates
(place each set of coordinates in a separate row) Zone oan Local government area

Easting Northing Latitude Longitude

 

 

Zone Reference

fT]

1 | soaoas roar GDASS (prefered) | 6 nshine Coast Regional
(J weses Counc

( Other - specity

Ld

 

 

 

 

 

 

 

 

5.  Whatis the total area that makes up the premises (ie. the area covered by the application)?

 

 

 

 

 

 

 

 

 

Area of land above high water mark/outside watercourse Area in a water body or watercourse
m Bq mm?
4,600.00 & Cy hectares | 45 oy hectares
(Tick applicable unit) (Tick applicable unit)
lowner’s consent and resource owner's agreement ~~}

 

6. Is the person making the request the owner of the land to which the approval attaches?

CO] Yes No - Complete Table E - provide detaits for each owner on a separate row, or on an attachment to this form if applicable. Note: Advice
provided at the end of this form details when owner's consent is not required.

Table E

 

Owner's name/s and postal Details of the premises owned Signature* Date written consent
address (street address or fot on plan description) 9 was obtained

 

{

* Owner's signature can nat be provided on the form if you intend to subrrit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company the company must sign as owner. $127 of the Corporations Act
2001 (Cwealth) details how a company may execute a document.

 

 

 

 

 

 

 

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 with a State-owned resource prescribed by schedule 10 of the Integrated
Planning Regulation 1998 (IP Reg) or any other regulation

oO No & Yes - Complete Table F and submit, with the application, written agreement to the request.

 

 

 

 

 

 

 

 

 

Date written agreement of the
Table F Nature of State-owned resource Relevant State Goverment Department chief executive was obtained
1 | 2. Land subject to a lease (including a freeholding lea
(Nature of the request |

 

8.  Whatis the nature of the request for change? (Tick the applicable box/es)
oO An extension of the period before an approval lapses (under IPA, section 3.5.22)
i) To change the development approval other than a change of condition (under IPA, section 3.5.24)

(1 To change or cancel a condition of approval (under IPA, section 3.5.33) - Go fo Q11
oO To change conditions of a rezoning approval given under the Local Goverment (Planning and Environment) Act 1990 (under IPA,
section 6.1.35A) - Go fo Q12
9. Were one or more concurrence agencies involved in the approval?

LJ No BX Yes - Complete Table G. Submit, with the application, a copy of the notice required fo be sent to each agency under IPA sections
3.5,22(1)(a} and 3.5.24(1)(b).