SCC request to change form · MCU13/0095.01

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KM
¥To change the development approval | ( Tochange the development O To extend the relevant period
| conditions before lapsing

|Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.

request (please tick ALL applicable categories)

4. Location of the premises
| Unit No. StreetNo 37 Street _Gobson Road

Suburb Noosaville State Qld Postcode 4567
Lot no. Plan type & plan no.
| Lot 1 __RP802167

 

| |
1 rns aka staat

|

|
|
|

|
|

meric iw Cite}

 

| Was there one or more concurrence agencies involved in the original approval? v¥ No

0 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 Agency Date copy given

 

6. Pre-request response notice

 

PE eceeaia - Oi Yes
yes, please attach a copy of the notice.

| Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?

vem mei’

Is the owner's consent required for this request? O No

 

\ ¥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

| | Ralph Rogers Marketing &
Promotion Pty Ltd as Trustee for Date
| Owner's name/s the R & K Rogers Superfund and

_Ralph Rogers ; Be eee ie mee am eed eo Beli)

Owner's name/s

|

| We, the above-mentioned owner/s of the land, consent |
to the making of this request. |

Oo The owner's written consent is attached.
‘Signature/s | Nes See

20f4 2013/14 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s

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(NOTES: For question? .

| 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:

| —  felates 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
i does not materially affect the owner's land.

       

8. Does the request involve a State resource yee M Cum UL) SustainablePlanning Regulation 2009,
Schedule 14?

  

'vNo 0 Yes — complete below details

| Nature of State owned resource:

| Nature of Evidence Tequired:

 

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

/O Evidence of allocation of / entitlement to, the resource oO Evidence the chief executive has agreed to the request

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 written agreement of the chief executive from whom evidence would be
' Pt yaa =

| 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 the Sunshine Coast Regional Council. Should any of the details given in relation to this application be
[changed in the future, the licant shall advise the Sunshine Coast Regional Council in writing prior to any such change

  

Date

3 of 4 2013/14 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s

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Caos i : i i Initial Date stamp

en no. | Amount paid Date paid Receipt no.

i
Le

Receiving Officer _

Payment options
b In person | Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).

 

| By mail Cheque or money order to be made payable to: Sunshine Coast Regional Council.

i | Cheque ‘o Money order o Mastercard O Visa

| ‘Card number Oo - , “Expiry date - ~ Amount $

| | Name on card Signature of cardholder

| 'Phone : —_ Is a receipt required? O Yes O No

aoa ~—9013/14 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s