3. Council form

                                                                  Development Assessment
                                                                  Request to apply a Superseded Planning Scheme

                                                                                                             Section 29 of the Planning Act 2016
ALL questions MUST be completed unless the form indicates otherwise.
This form must be submitted to council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.

                             All terms used on the form have the meaning given in the Planning Act 2016 or the Planning Regulation 2017.

1. Details of person making the request
Name – Ralph Lauren 55 Ptd Ltd
Contact name – c/- Project Urban (John McKennariey)
Postal address – PO Box 6380
Suburb - Maroochydore                                                    State - QLD                             Postcode - 4558
Business phone - 5443 2844                                                      Mobile
Email address - [email protected]


2. What is the nature of the request

     To accept, assess and decide a proposed development application under a superseded planning scheme.
      Attached is a copy of the proposed superseded planning scheme application.
     To apply a superseded planning scheme to the carrying out of assessable development, prohibited development or
      development that was, under the superseded planning scheme, exempt development or accepted development
      Attached is a description and plan of the proposed development


3. Please provide information about the property address for the premises to which this request relates.
Property Address
Address - 168 Eumundi-Noosa Road, Noosaville QLD                                                           Postcode - 4566
Lot No. 2                                                Plan type and plan No. RP222164

4. Is a copy of the proposed development application request attached (tick applicable box)

     Yes – proceed to question 5
     No

5. Is prescribed fee been paid (tick applicable box)

         Yes
         No

6. What is the nature of the proposal? (tick applicable box/es)

     Material change of use of premises
     Reconfiguring a lot
     Operational work
     Building work

7. What type of approval will be sought? (tick applicable box/es)
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.qld.gov.au                        [email protected]                        T 07 5329 6500
 PO Box 141 Tewantin Qld 4565                                                             ABN 97 969 214 121
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