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Request to Change Existing Approval and-or Extension to Relevant Period - Signed
Attached to the e-mail 132007.12.06 Application to Change Development Approval.
Request to Change Existing Approval and/or Extension to e See eeoonern rele Pad 2014/15 Sustainable Planning Act 2009 This form must be submitted to Council accompanied by the applicable fee. Attach extra pages if there is insufficient space on the form. Please note that for development approvals that include water and sewerage conditions, a Unitywater fee may also apply. 1. Details of person making the request Full name — Noosa Professional and Medcail Centre Pty Ltd Contact Name — Shane Adamson c/- Adamson Town Planning Pty Ltd Postal address - PO Box 1613 Suburb - Noosaville State - QLD Postcode - 4566 Business phone — 07 5430 6671 A/H phone Mobile 0437 754 420 Email address — [email protected] Fax — 07 5430 6677 2. Details of existing approval Type of approval (please tick ALL applicable categories) Which entity issued approval? Development Permit M Council Preliminary Approval Ol Other entity — please specify Compliance Permit Material Change of Use Reconfiguring a Lot Operational Works Building Works Plumbing or Drainage Works Compliance Certificate Environmentally Relevant Activity Application number/council reference — 132007.12.4 (07/0012) Date issued - 24 February 2011 Is the approval for a mobile and temporary ERA? M No O Yes -— complete below Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating OOOODOOSBBROOCBW 3. Nature of request (please tick ALL applicable categories) M Tochange the development M Tochange the development O To extend the relevant period approval conditions before lapsing Please attach documentation outlining the detail of and the reasons and justification for the requested change or extension. Privacy Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is authorised to collect this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with council's privacy policy. www.noosa.qid.gov.au [email protected] T 07 5329 6500 PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121 Page 1 of 4
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4. Location of the premises Unit No. Street No - 90 Street - Goodchap Street Suburb - Noosaville ey ea stateoiln | Postcode 4566. 4 SP196846 §. Concurrence Agencies Was there one or more concurrence agencies involved in the original approval? No CO Yes-provide details below Note — Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all concurrence agencies. Concurrence achat : Date copy given 6. Pre-request response notice Has a pre-request response ‘been given bya relevant entity (eg. a concurrence agency) for this request? HNo Geo ; ; Eyes ee ii eek If yes, please attach a copy of thenotice. 7. Owner’s consent Is the owner's consent required for this request? O No Mi Yes— complete either Table A or Table B below Note — if more than one owner of the land all owners’ details are required Table A — owner’s consent provided on form Noosa Professional and Medical Owner’sname/s Centre PtyLtd 0 The owner’s written consent is attached. Owner’s name/s IANVe, the above-mentioned owner/s of the land, consent | to the making of this request. Signature/s Zz 6 November 2014 Date Table B — owner’s consent provided on form
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NOTES: For question 7 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. 8. Does the request involve a State resource prescribed under the SustainablePlanning Regulation 2009, Schedule 14? M No 7 arn 0 Yes — complete below details Nature of State owned resource: ; / ; a ai ea Nature of Evidence required: O Evidence of allocation of / entitlement to, the resource +O Evidence the chief executive has agreed to the request Attach a copy of the evidence required above Te ; 5 NOTES: For question 8 a 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 Pianning Act 2009 would be required to support the application, this request must be accompanied by the written 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 IMWe, 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 in writing prior to any such change being implemented. Signature/s Z Le Loo Date 6 November 2014
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OFFICE USE ONLY Application no. —§ Amount paid Date paid Receipt no. Initial ee Date stamp Receiving Officer Payment options Inperson 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. oOo Cheque PE yee 1 Money order Cl Mastercard O Visa