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Development Application Part 1 of 2 Application Form MCU12/0047

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                                            80205681
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    THIS IS THE NEXT PART OF A
  MULTIPLE PART RECORD

           Part \     Of        d.


Application number: \\(’co\ Q 1001+




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Full text of the other 26 pages

Page 2

   Monday, 30 April 2012

   Our Ref: 11357 / Office: Sunshine Coast
                                                                                                                                                                                                           kh
                                                                                                                                                                                                            DEVELOPMENT
                                                                                                                                                                                                            MAN     AGE            R   S
   The Chief Executive Officer
   Sunshine Coast Regional Council
   Locked Bag 72
   Sunshine Coast Mail Centre QLD 4560


   ATTENTION:              Planning Assessment                                    -
                                                                                      North



   Dear Sir / Madam


   LODGEMENT OF DEVELOPMENT APPLICATION


   DEVELOPMENT APPLICATION FOR MATERIAL CHANGE OF USE FOR RETAIL BUSINESS
   TYPE 2 SHOP &. SALON AND MULTIPLE HOUSING TYPE 4 CONVENTIONAL


   12 HASTINGS STREET, NOOSA HEADS
   LOT 1 AND COMMON PROPERTY ON BUP2SS0



   Please find enclosed Development Application for Material Change of Use for Retail Business Type 2
   Shop & Salon and Multiple Housing Type 4 Conventional in respect of Lot 1 and common property on
   BUP2550 at 12 Hastings Street, Noosa Heads.


   In support of the application, please find attached:
                                                                                                                                                                                               \
        .     IDAS Forms 1 & 5 and IDAS Checklists 1 & 2;
        .     (5) Copies of the development application report prepared by KHA Development Managers
              including Proposal Plans prepared by Bark Design Architects;
        .     (1)x CD copy of application documentation; and,
        .     Owners consent and a cheque to Council for the required Impact Assessable application fee of
              $9,157.00 calculated as follows:
                                                                                                                                                         /                                                               ’\
              1 Unit  $3,176.00 (inc. $469 Unitywater fee)
                           -




              Shop (49m2) $5,483.00 (inc. 50% mixed
                                                 -
                                                                                                                          use                development fee reduction                                     and    $498
              Unitywater fee)

   Should you have any questions with respect to the above, please do not hesitate to contact me direct.                                                                                                                  ’.
                                                                                                                                                                                                                           \
                                                                                                                                                                                                                               \

   Yours faithfully
                                                                                                                                                                                                                               ’\
   KHA DEVELOPMENT MANAGERS
                                                                                                                                                         DSve/oPtnent
                                                                                                               J~’~.
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                                                                                                                                                                            30
                                                                                                                                                                                                       COUnter
                                                                                                                                                                                      APR 2072
   Scott Sobey
   DIRECTOR
                                                                                               (        \.
                                                                                                                                                             MaroOChYdore
                                                                                                                                                                     ~l1’
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                     PLANNING I SURVEYING I PROJECT MANAGEMENT I COURT APPEALS

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Brisb     nE?                                                              SunshinE? Co                      st                   ~.._. rl        ’~’,               North OUE?E?nsl                         nd


SUite 1, 14 Lever Street, Albion Old 4010                                  SUite 1, Comer Surf Road & Gardak Street                                                  1C/41 Sturt Street, TownsvHle Old 4810
PO Box 266,Albion DC Old 4010                                              Alexandra Headland Old 4572                                                               PO Box 6027,Townsville Old 4810

pi 0732621200       f   I 0732621499                                       PO Box 6380,Maroochydore BC Old 4558                                                      pi 0747213066                     f   I 0747213088
                                                                           p I    07 5443 2844 f I 075443 7146


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Page 3

                                                                                                                                 I.




KHA Ref: 11357




             SUNSHINE COAST REGIONAL COUNCIL
             LOCKED BAG 72
             SUNSHINE COAST MAIL CENTRE QLD 4560


             ATTENTION:           Planning Assessment                  -
                                                                           North                                                      ,.._./




Dear Sir


LA~DOWNER’S CONSENT

DEVELOPMENT APPLICATION FOR MATERIAL CHANGE OF USE ;_ MULTIPLE DWELLING
UNIT AND SHOP


12 HASTINGS STREET, NOOSA HEADS
LOT 1 AND COMMON PROPERTY ON BUP2550
                                                                                                         _o;"




We JACARANDA NO.12 PTY LTD as tru’stee, as owner of land at 12 HASTINGS STREET,

NOOSA HEADS, described as LOT 1 ON BUP2550, hereby consent to the making of a development

application under the Sustainable Planning Act 2009 by                                KHA   Development Managers for the
abovementioned application.




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                                            .......................................
                                                                                       Date...........!.~.!.v...(~.
NAME:




                                                                                                     /fIJ;;l
                                                                                       Date...................................

NAME:

Page 4

KHA Ref: 11357




       SUNSHINE COAST REGIONAL COUNCIL
       LOCKED BAG 72
       SUNSHINE COAST MAIL CENTRE QLD 4560


       ATTENTION:     Planning Assessment North
                                          -




Dear Sir


LANDOWNER’S CONSENT


DEVELOPMENT APPUCA            ON FOR MATERIAL CHANGE OF USE               -
                                                                              MULnPLE DWELUNG
UNRANDSHOP


12 HASTINGS STREET, NOOSA HEADS
LOT 1 AND COMMON PROPERTY ON BUP2550




We THE BODY CORPORATE PINE TREES RESORT, as owner of land at 12 HASTINGS STREET,

NOOSA HEADS, described as COMMON PROPERTY ON BUP2550, hereby consent to the making

of a development application under the Sustainable Planning Act 2009 by KHA Development Managers

for the abovementioned application.




 .?k~                                                                  ~ M,f--~
                                                             Date...................................
                                                                                                       1 t_


NAME:      PA v ,_   t.-{_~I1tc:i._
           t ’1 C.uRP (_ HA,I2-~
           ~IN-t- ,-ILUS ~t  "\.




                                                             Date..................................

NAME:

Page 5

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       ...                    Integrated
                                            De;~,~~~e,;’t A~sessment                 System form
                                                                                                                      ~
Application Details                              -
                                                       IDAS form 1
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)


You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
necessary information and documentation will result in your application not being a properly made application.

For all development applications, you must:

.           complete this form (Application details IDAS form 1)
                                                     -




.           complete any other forms relevant to your application
.
            provide any mandatory supporting information identified on the forms as being required to accompany your
            application.
    All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.

Applicant details (note:the applicant is the person responsible for making the application and need not be the
owner of the land. The applicant is responsible for ensuring the information provided on alllDAS application forms is

correct. Any development permit or preliminary approval that may be issued as a consequence of this application will
                                                                                            .




be issued to the applicant.)


Please note: If there is more than one applicant, provide additional applicant details by clicking the "Add another
applicant" button below.


Namels (individual or company name in full)                     Jacaranda No 12 Ply Ltd C/- KHA Development Managers


For companies, contact name                                    Iscott Sobey
Postal address                                                 Ipo 6380,Maroochydore
                                                                     Box                        BC QLD 4558


Contact phone number                                           1(07)     5443 2844


Mobile number (non-mandatory)


Fax number (non-mandatory)                                     1(07)     5443 7146


e-mail address (non-mandatory)                                 [email protected]

11. What is the nature of development proposed? (tick all applicable boxes)
C8J         material change of use of premises

D building work
D operational work
D reconfiguring a lot




     Department of Infrastructure and Planning                              QPlan
                                                                                                     ~Queensland
                                                                                                     ~~Government

Page 6

DDD
12. What type of approval is being sought?
C8J development permit
D preliminary approval
D      both     -

                    provide details below



[3.Is the application for mobile and temporary environmentally relevant activity (ERA)?
                                     a



C8J    No

DYes complete table A and then go to question 5
              -




14. Location of the premises (completetable B and/or table C                 as   applicable. Identify each lot in a separate row)

Table B     -     street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

                                                                                         Lot on plan
                     Street Address
                                                                                         description          Local government area
                     Unit   Street          Street name and official       Post               Plan type          (e.g. Logan,Cairns)
                                                                                   Lot No.
                      No.    No.             suburb/locality name          code              and plan no.

                                                                                   1 &
              1             12           Hastings Street, Noosa Heads                        BUP2550        Sunshine Coast
                                                                                   Comm
                                                                                   on

                                                                                   Proper
                                                                                   ty                                                      -




C8J Street address / lot on plan
      Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
D water
              e.g. jetty, pontoon)
Table C     -
                  premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)


                    Coordinates (note: place each set of
                    coordinates in a separate row)                            Zone                                 Local government
                                                                                                 Datum
                                                                             reference                             area   (If applicable)
                       Easting       Northing      Latitude    Longitude
                                                                                             D GDA94
                                                                                             DWGS84
              1
                                                                                             D other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)

2,265m2
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)



                     Commercial Premises and Residential units




7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)


ShOD, 1 Additional Unit and ancillary Management Office

                                                                                                          Application Details   -
                                                                                                                                    IDAS form 1
                                                                                                            Version 1.018 December 2009

Page 7

ODD

8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)



D No
~ Yes complete either table D, table E or table F as applicable
           -




Table 0(note: do not complete this table if lodging the application on-line using Smart eDA)



Name of ownerls of the land              [
I/We, the above-mentioned ownerls of the land, consent to the making of this application.



Signature of ownerls of the        landl
Date                                     [
Table E



Name of ownerls of the land              [JaCaranda    No 12 Pty Ltd (Trustee)


 ~ The owner’s written consent is attached or will be provided separately to the assessment manager

Table F



Name of ownerls of the land              [
       By making this application, I, the applicant, declare that the owner has given written consent to the making of
 D the
          application.


9. Does the application involve a state resource? (e.g.the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)



~No                                     DYes    -

                                                    complete table G



110. Identify if any of the following apply to the premises (tick applicable box/es)
~       adjacent t      a water   body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                             -




D       on    strategic port land under the Transport Infrastructure Act 1994 complete table I
                                                                                 -




D       in a tidal water area     -

                                      complete table J

Table H         Name of water body, watercourse or aquifer



         11     Noosa River



11.Are there any existing easements on the premises? (e.g.for vehicular access, electricity, overland flow,
    water, etc.)


~No DYes            -
                        ensure the    type, location and dimension of each easement is included in the plans submitted




                                                                                                 Application Details   -
                                                                                                                           IDAS form 1
                                                                                                   Version 1.0 18 December 2009

Page 8

DDD
12. Does the proposal include new building work or operational work on the premises? (including any
    services)

D No ~Yes           -
                        ensure the nature, location and dimensions of   proposed works are included in plans submitted

13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
    end of this form for more information)


~ No    -
            Go to question 15                  DYes


15. Has the local government agreed to apply a superseded planning scheme to this application under
    section 96 of the Sustainable Planning Act 20091



~    No

DYes provide details below
            -




16. List below all of the forms and supporting Information that accompany this application (include all IDAS
forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA)

                                                                                                   Method of lodgement to
                                  Description of attachment or title of attachment                   assessment manager


                1   IDAS Form 5 and IDAS Checklists 1 & 2                                          over the counter




                    Town Planning Report and Code Assessment prepared by KHA
                2                                                                                  over the counter
                    Development Managers


                3       Architectural Plans prepared by Bark Design Architects                     over the counter




117. Applicant’s declaration
 I’V’I By making this application, I declare that all information in this application is true
                                                                                              and correct (note: it is
 ~ unlawful to provide false or misleading information).




                                                                                               Application Details   -
                                                                                                                         IDAS form 1
                                                                                                 Version 1.0 18 December 2009

Page 9

ODD
Notes for completing this form


Question 8:
.     Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required
      for an application. Section 260(1 )(e) of the Sustainable Planning Act 2009 provides that if the owner’s consent is
      required under section 263, then an application must contain, or be accompanied by, the written consent of the
      owner, or include a declaration by the applicant that the owner has given written consent to the making of the
      application.
.     Owner’s consent is not required for a mobile and temporary ERA.


Question 9:
.     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 the 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.

Question 13:
.     The Building and Construction Industry (Portable Long Service Leave)Act 1991 prescribes when the portable
      long service leave levy is payable.
.     The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
      are   prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

Question 14:
.     The portable long service leave levy need not be paid when the application is made, but the Building and
      Construction Industry (Portable Long Service Leave)Act 1991 requires the levy to be paid before a development
      permit is issued.
.     Building and Construction Industry Notification and Payment Forms are available from any Queensland post
      office or agency, on request from QLeave, or can be completed on the QLeave website at
      www.qleave.qld.gov. au. For further information contact QLeave on 1800 803481 or www.qleave.qld.gov.au.

Privacy -the information collected in this form will be used by the Department of Infrastructure and Planning (DIP)in
accordance with the processing and assessment of your application. Your personal details will not be disclosed for a
purpose outside of the IDAS process, except where required by legislation (including the Right to Information Act
2009) or as required by pa1i     LIhis information may be stored in a departmental database. The information
                                              ~

collected will be retained as re   .
                                       ired       .
                                                      Public Records Act 2002.


OFFICE USE ONLY



Date received




To:




Date of                                                                          BSA Certification      Building
                        Name
engagement                                                                       license number         classification/s




                                                                                               Application Details   -
                                                                                                                         IDAS form 1
                                                                                                  Version 1.0 18 December 2009

Page 10

DDD

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)


                                                                                Date receipted
                                        QLeave Project   Amount                 form sighted by Name of officer who
              Description of the work                               Date paid
                                        Number           paid ($)               assessment       sighted the form
                                                                                manager



       11
The Sustainable Planning Act 2009 (SPA)is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                       Application Details   -
                                                                                                                 IDAS form 1
                                                                                          Version 1.0 18 December 2009

Page 11

     11
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     ~~p:l~ r" ’Integrated                            Development     Assess~~~i;~te~ to;m                             ~~
     ,
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                              ,
                                                                                                                       n           I r:+-

      Material change                                    f use assessable against a plann’ing
      scheme ..IDAS form 5
     (Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

     This form must be completed for development applications for a material change of use assessable against a
      planning scheme.
     You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
      necessary information and documentation will result in your application not being a properly made application.

      For all development applications, you must:

      .        complete Applicant details IDAS form 1
                                                  -




      .        complete any other forms relevant to your application
      .        provide any mandatory supporting information identified on the forms as being required to accompany your
               application.

      All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
      Planning Regulation 2009.

      This form can also be used for development on strategic port land under the Transport Infrastructure Act 1994.




      1. How is the premises identified I zoned in the applicable planning scheme? (if the premises involves
          multiple zones, clearly identify the relevant zone for each lot in a separate row in the below table) Non-mandatory

                                  Lot description
                                                                              Applicable zone / precinct      Applicable overlays
                                  (Le. street address or lot on plan details)

                                  Lot 1 and Common Property on                                                Area subject to Minimum
                      l   1
                                  BUP2550
                                                                               Visitor Mixed Use
                                                                                                              Floor Height
                                                                                                              High Potential Acid Sulfate
                                                                                                              Area (O-5m AHD)




      2. How is the proposed use/s defined in the applicable planning scheme?



                                                             Planning scheme                                Days and          No. of
                                                                                        No. of dwelling /
                                  General explanation of     definition (include each                       hours of
                                                                                        tenancy units                         employees
                                  the proposed use           definition in a new row)                       operation
                                                                                        (if applicable)                       (if applicable)
                                                             (non-mandatory)                                (if applicable)
                                                             Retail Business Type 2                         7 days -7am
                          1       Shop                                                  1
                                                             Shop and Salon                                 to 9pm


                          2       Units
                                                             Multiple Housing Type 4    1
                                                             Conventional


      3. What type of approval is being sought for the material change of use?


      C8J development permit                          D preliminary approval            D both provide details below
                                                                                                   -




            Department of Infrastructure and Planning                           QPlan
                                                                                                               ~Queensland
                                                                                                               ~W Government

Page 12

ODD
4. Are there any current approvals associated with this application for the change of use of the premises?
(eg.a preliminary approval)

~No          DYes     -

                          provide details below



15. Does the proposed        use Involve   (tick applicable box/es)

the reuse of existing buildings on the premises                 o No ~ Yes
new   building work on the premises                             o No ~ Yes
the reuse of existing operational works on the premises         0No ~ Yes
new   operational work on the premises                          0No ~ Yes


[6.Confirm that the following mandatory supporting Information accompanies this application
                                                                                         Confirmation      Method of
All applications
                                                                                         of lodgement      lodgement
a site   plan drawn to scale (1:1 00, 1 :200 or 1 :500 are the recommended scales)
which shows the following:

.   the location and site area of the land to which the application relates
    (relevantland)
.   the north point
.   the boundaries of the relevant land
.
    any road frontages of the relevant land, including the name of the road
.   the location and use of any existing or proposed buildings or structures on
    the relevant land (note: where extensive demolition or new buildings are
  proposed, two separate plans (an existing site plan and proposed site plan)
  may be appropriate)                                                                    ~    confirmed
                                                                                                           over the counter
.
  any existing or proposed easements on the relevant land and their function
.the location and use of buildings on land adjoining the relevant land
. all vehicle access points and any existing or proposed car parking areas on


  the relevant land. Car parking spaces for persons with disabilities and any
  service vehicle access and parking should be clearly marked.
. for any new building on the relevant land, the location of refuse storage
. the location of any proposed retaining walls on the relevant land and their
  height
. the location of any proposed landscaping on the relevant land
.   the location of any stormwater detention on the relevant land



a statement about how the        proposed development addresses the local
government’s planning schemes and any other planning documents relevant to               ~    confirmed    over the counter

the application



a statement about the       intensity and scale of the proposed use (e.g. number of
employees, days and hours of operation, number of visitors, number of seats,             ~    confirmed    over the counter

capacity of storage area etc.)

information that states:

.   the existing or proposed floor area, site cover, maximum number of storeys           ~    confirmed
      and maximum height above natural ground level for existing or new buildings
      (e.g. information regarding existing buildings but not being reused)                                 over the counter

.   the existing or proposed number of on-site car parking bays, type of vehicle
                                                                                              not
              (for non-residential uses) and vehicular servicing
      cross-over                                                                         0
                                                                                              applicable
    arrangement (for non-residential uses)




                                                       Material change of use assessable against a planning scheme   -
                                                                                                                         IDAS form 5
                                                                                                 Version 1.0 18 December 2009

Page 13

..




     ODD
                                                                                                   Confirmation      Method of
                                                                                                   of lodgement      lodgement

     When the application involves the reuse of existing buildings



     plans showing the size, location, existing floor area, existing site cover, existing          ~    confirmed
     maximum number of storeys, and existing maximum height above natural
                                                                                                        not
     ground level of the buildings to be reused                                                    D
                                                                                                        applicable

     When the application involves new building work (including extensions)


     floor plans drawn to scale (1:50, 1:1 00 or 1 :200 are the recommended scales)
     which show the following:

     .   the north point
     .   the intended use of each area on the floor plan (for commercial, industrial or
         mixed use developments only)                                                              ~    confirmed
     .   the room layout (for residential development only) with all rooms clearly
         labelled
     .   the existing and the proposed built form (for extensions only)
     .   the gross floor area of each proposed floor area

     elevations drawn to scale (1:1 00, 1 :200 or 1 :500 are the recommended scales)
     which show plans of all building elevations and facades, clearly labelled to                  ~ confirmed
     identify orientation (e.g. north elevation)

     plans showing the size, location, proposed site cover, proposed maximum                       ~    confirmed
     number of storeys, and proposed maximum height above natural ground level of
                                                                                                       not
     the proposed new building work                                                                D
                                                                                                       applicable

     When the application involves the reuse of other existing works


     plans showing the nature, location, number of on-site car parking bays, existing              ~    confirmed
     area.of landscaping, existing type of vehicular cross-cover (non-residential
     uses), and existing type of vehicular servicing arrangement (non-residential                       not
     uses) of the works to be reused
                                                                                                   D
                                                                                                        applicable

     When the application involves new operational work


     plans showing the nature, location, number of new on-site car parking bays,
                                                                                  ~ confirmed
     proposed area of new landscaping, proposed type of new vehicle cross-cover
     (non-residential uses), proposed maximum new vehicular servicing arrangement   not
     (non-residential uses) of the proposed new operational works
                                                                                  D
                                                                                    applicable

     Notes for completing this form:
         This form can also be us d for a material change of use assessable against the land use plan for Cairns airport
         land or Mackay airport I      d.     never a   planning scheme is mentioned, take it to mean land use plan for the
         airport land.
                                        D
                                            eVaL~                           further details on the use of information recorded in
     Privacy   -
                   please refer to   our
                                           asses5~JQilnage
                                                    If
     this form.
                                                          ISnt C
     OFFICE USE ONLY
                                                        4A? ’’()
                                                             (,/
                                                                   12
     Date received                             OR~WI)Ce numbers
                                               -,
                                                        lytlOr.
     The Sustainable Planning Act 2009 is administe                     e   Depart   ent of Infrastructure and Planning. This form and
     all other required application materials should be sent to                s     ssment manager and any referral agencies.




                                                           Material change of use assessable against a planning scheme       -
                                                                                                                                 IDAS form 5
                                                                                                              Version 1.0 18 December 2009

Page 14

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                                      ’:~,I’~t~grated
          ’...                :.~::                               Development Assessment System ’Checklist
                                                                                                                                    ~
     Development assessment checklist IDAS                                                    -




     checklist 1
     (Sustainable Planning Act 2009, version 1.0 18 December 2009)

     This checklist applies to the carrying out of development generally.

     You are not required to complete this checklist as part of your development application, however you may submit the
     checklist with your application if you wish. The purpose of the checklist is to assist you in identifying:

      .
          whether you need to make a development application for the proposed development

          if a development application is required, the relevant IDAS forms you need to complete as part of your application

     .
          whether you need to give a copy of your application to any referral agencies.

     If your development involves a material change of use, reconfiguring a lot or operational works, it is recommended
     that you complete Material change of use -IDAS checklist 2, Reconfiguring a lot IDAS checklist 3 or Operational
                                                                                                   -




     works -IDAS checklist 4, as applicable.

     If you are unsure how to answer any questions on this checklist, phone or visit your local                governm’ent, or go to the
     Department of Infrastructure and Planning’s website at www.dip.qld.gov.au.
     All terms used in this checklist have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
     Planning Regulation 2009.


     !Part 1 General questions
               -




     1.1 Have you received a referral agency response in relation to this proposed development prior to making
     an   application?

     I:8JNo
                   .          To assist you in preparing your application, completing Referral agency responses -IDAS checklist
     DYes
                              6 is recommended


     1.2 Do you wish the proposed development to be assessed against a superseded planning scheme?


     I:8J No

                   .          You must complete Request to apply a superseded planning scheme                 -
                                                                                                                  Sustainable Planning Act
     DYes                     form 2 and give this notice to the relevant local government. If the local government agrees to

                              your request, details must be provided in Application details   -   IDAS form 1



     1.3 Does the proposal involve removing quarry material from a watercourse or lake for which an allocation
     notice is required under the Water Act 2000?


     C8JNo
     DYes          .          It is recommended that you complete part 2 of this checklist


     1.4 Is any part of the proposed development intended to be carried out on a Queensland heritage place under
     the Queensland Heritage Act 1992?


     C8J No
     DYes          .          It is recommended that you complete part 3 of this checklist




          Department of Infrastructure and Planning                            QPlan
                                                                                                                   ~Queensland
                                                                                                                   ~Government

Page 15

,




    .ODD
1.5 Does the proposal involve development on a local heritage place?


C8J No
DYes          .      It is recommended that you complete part 4 of this checklist



1.6 Does the proposal involve an environmentally relevant activity, other than an agricultural ERA,a mining
activity or a chapter SA activity?

C8J No
DYes          .      It is recommended that you complete part 5 of this checklist


1.7 Is any part of the development on strategic port land or airport land (otherthan development for a
material change of use that is inconsistent with the land use plan for the strategic port land or airport land)


~No

DYes          .      It is recommended that you complete part 6 of this checklist


1.8 Is any part of the development on land below a high water mark within the limits of a port under the
Transport Infrastructure Act 1994?

C8J No
DYes          .      It is recommended that you complete part 7 of this checklist



11.9 Is any part of the premises designated for community infrastructure?
C8J No
DYes          .      It is recommended that you complete part 8 of this checklist


1.10 Does the proposal involve the establishment or expansion of a waste water disposal system?


C8JNo
DYes          .      It is recommended that you complete part 9 of this checklist



1.11 Is the development on land that adjoins a declared fish habitat area under the Fisheries Act 1994?



~No

DYes          .      It is recommended that you complete part 10 of this checklist



Privacy   -
              please refer to your assessment manager for further details on the use of information recorded in
this checklist.


Disclaimer:
    While the Department of Infrastructure and Planning (DIP)believes that this information contained on this
    checklist and provided as part of this process will be of assistance to you, it is provided on the basis that you will
    not rely on the information without first making your own enquiries regarding the interpretation and application of
    the applicable legislation to your circumstances.


    To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for
    negligence) for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or
    other consequence which may arise from your reliance on this process and the information contained on this
    cpecklist.



                                                               Development application assessment checklist    -
                                                                                                                   IDAS checklist 1
                                                                                                  Version 1.0 18 December 2009

Page 16

j




    .ODD
OFFICE USE ONLY



Date received   I                       Reference numbers


The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning.




                                                        Development application assessment checklist   -
                                                                                                           IDAS checklist 1
                                                                                        Version 1.0 18 December 2009

Page 17

                                                                   ....,




        ..


~~




                              .

                                  ;~,                                                                   .,.
       ’"                                """,",                                                                         .’




                              ’. ’.
                                  .




                                                                                                                     .~
         111111                         ";’~t~~rate~ Development           Assessment System   Ch~cklist            rI1Th.--t=l-.
                                  "
                                                                                                                   ~1r4-
     Material Change of Use                                       -    IDAS Checklist Part 2
     (Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

     This checklist only applies when the development application seeks approval for a material change of use of premises,

     You are not required to complete this checklist as part of your development application, however you may submit the
     checklist with your application if you wish. The purpose of the checklist is to assist you in identifying:

                       whether you need to make a development application for the proposed development
                       if a development application is required, the relevant IDAS forms you need to complete as part of your
                       application, and
                       whether you need to give a copy of your application to any referral agencies.

     Before completing this checklist, it is recommended that you complete Development Assessment Checklist IDAS                         -




     checklist part 1. If your development involves reconfiguring a lot or operational works, it is recommended that you also
     complete Reconfiguring a lot IDAS checklist 3and Operational works IDAS checklist 4, as applicable.
                                         -                                            -




     If you are unsure how to answer any questions on this checklist, phone or visit your local government, or go to the
     Department of Infrastructure and Planning’s website at www.dip.qld.gov.au
     All terms used in this checklist have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
     Planning Regulation 2009.


     jpart     1   -   General questions


     1.1 Is the proposed use assessable development under the planning scheme?



     DNo
                       .     You must complete Material change of use assessable against a planning scheme                     -
                                                                                                                                   IDAS form 5
     I:8J Yes          .     Continue on to question 1.3


     1.31s any part ofthe land part of a future state-controlled road or within 100 metres of a State-controlled road?


     I:8J No
                       .       If your application is assessable development under a planning scheme, the Department of
                               Transport and Main Roads is a concurrence agency for your application. You must give a copy of
     DYes                      the application to the Department of Transport and Main Roads.
                       .       It is recommended that you complete part 2 of this checklist


     1.4 Does State Planning Policy 2/02: Planning and Managing Development Involving Acid SuNate Soils apply to
     the development?


     I:8JNo
     DYes              .       It is recommended that you complete part 3 of this checklist

                                                                                                                                         ~
                                                                                                    ~
                                                                                                        "     r’!~iJ1               i~
     1.5 Is any part of the premises located in a coastal management district?                                            .,
                                                                                                                        !J.J
                                                                                                                               .




     I:8J No
     DYes              .       It is recommended that you complete part 4 of this checklist




        Department of Infrastructure and Planning                             QPlan
                                                                                                         ~Queensland
                                                                                                         ~Government

Page 18

ODD

1.6 Is the size of the lot two hectares or larger?                                       ~




I:8l No
DYes         .       It is recommended that you complete part 5 of this checklist


1.7 Is any part of the premises in an area for which an area management advice has been given for unexploded
ordnance?


I:8l No
             .       You must complete Contaminated land      -
                                                                  IDAS form 24.
             .       This application requires assessment by the administering authority (either the chief executive
DYes
                     administering the Environmental Protection Act 1994, or the local government) as a concurrence
                     agency.


Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 11


1.8 Is the proposed use of the premises listed in schedule 12 of the Sustainable Planning Regulation 2009 and
does it meet the specified threshold?


I:8l No
             .       This application requires assessment by the Department of Transport and Main Roads as a
DYes                  concurrence agency



Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 14


1.9 Is the proposed use of the premises listed in schedule 13 of the Sustainable Planning Regulation 2009 and
does it meet the specified threshold?


[gJ No
             .       This application requires assessment by the Department of Transport and Main Roads as a
DYes                 concurrence agency



Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 15


1.10 Is any part ofthe premises in an interim koala habitat protection area to which the provisions ofthe South
East Queensland koala State planning regulatory provisions apply?


[gJ No
DYes          .       It is recommended that you complete Part 6 (starting from question 6.1) of this checklist


1.11 Is any part of the premises in a koala conservation area or koala sustainability area, which is located
outside the current SEQ urban footprint area?


[gJ No
DYes          .       It is recommended that you complete Part 6 (starting from question 6.3) of this checklist


1.12 Is the proposed use associated with a reconfiguration of a lot?



I:8l No       .       It is recommended that you complete Part 7 of this checklist

DYes



                                                                                     Material Change of Use   -
                                                                                                                  IDAS checklist 2
                                                                                               Version 1.0 18 December 2009

Page 19

ODD
1.13 Is any part of the premises in a wild river area declared under the Wild Rivers Act 2oo5?


IZI No
DYes        .        It is recommended that you complete P.art 8 of this checklist



11.141s the proposed   use for a domestic   housing activity?

IZI No      .        It is recommended that you complete Part 9 of this checklist

DYes

1.15 Does the use of the premises include a lot sharing a common boundary with a Queensland Heritage place
under the Queensland Heritage Act 19921


IZI No
            .        This application requires assessment by the Department of Environment and Resource

DYes                 Management as an advice agency
            .        You must also complete Queensland Heritage Place -IDAS form 3


Section reference:
         Sustainable Planning Regulation 2009, schedule 7, table 3, item 23


1.16 Is preliminary approval sought for the application under the Sustainable Planning Act 2009, section 242?


IZI No
            .        This application requires assessment by the Department of Infrastructure and Planning as a
                     concurrence agency
DYes        .        You must complete Preliminary approval varying the effect of the local planning instrument         -
                                                                                                                            IDAS
                     form 31


Section reference:
         Sustainable Planning Regulation 2009, schedule 7, table 3, item 24


1.17 Is the proposed use for a brothel as defined under the Prostitution Act 1999?



IZI No
DYes        .        It is recommended that you complete Part 10 of this checklist


1.18 Is any part of the proposed use on strategic port land under the Transport Infrastructure Act 1994?


IZI No
DYes         .       It is recommended that you complete Part 11 of this checklist


1.19 Is any part of the proposed use on airport land under the Airport Assets (Restructuring and Disposal Act
20081


IZI No
DYes         .       It is recommended that you complete Part 12 of this checklist




                                                                                     Material Change of Use   -
                                                                                                                  IDAS checklist 2
                                                                                               Version 1.0 18 December 2009

Page 20

ODD
1.20 Is the proposed use a major hazard facility or possible major hazard facility under the Dangerous Goods
Safety Management Act 2oo1?

cg] No
              .       This application requires assessment by the Department of Justice and Attorney-General (JAG). If
                      JAG is not your assessment manager for the application, the role of the agency will be as
DYes                  concurrence agency.
             .        You must also complete Major hazard facility -IDAS form 22.

Section reference:
          Sustainable Planning Regulation 2009, schedule 3, part 1, table 2, item 5
          Sustainable Planning Regulation 2009, schedule 7, table 2, item 8


1.21 Is all or part of the premises on the environmental management register or contaminated land register
under the Environmental Protection Act 1994?


cg] No
DYes          .       It is recommended that you complete Part 13 of this checklist


1.22 Is all or part of the land forming the premises currently used for a notifiable activity or if there is no
existing use, was it last used for a notifiable activity?

cg] No
DYes          .       It is recommended that you complete Part 14 of this checklist


1.23 Is all or part of the land forming the premises currently used for an industrial activity (otherthan for a
mining activity or petroleum activity) or if there is no existing use, was it last used for an industrial activity
(otherthan for a mining activity or petroleum activity)?

cg] No
DYes          .       It is recommended that you complete Part 15 of this checklist


1.24 Is any part of the premises in an area for which an area management advice has been given for natural
mineralisation or industrial activity (otherthan for a mining or petroleum activity)?


cg] No
DYes          .       It is recommended that you complete Part 16 of this checklist


                                                                                                                                ~
1.25 Is the proposed use for aquaculture defined under the Fisheries Act 1994?


cg] No
DYes          .       It is recommended that you complete Part 17 of this checklist


1.26 Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?                              a




cg] No
DYes          .       It is recommended that you complete Part 18 of this checklist


1.27 Is any part of the premises within the South East Queensland designated region?



DNo
cg] Yes       .       It is recommended that you complete Part 19 of this checklist




                                                                                      Material Change of Use   -
                                                                                                                   IDAS checklist 2
                                                                                                Version 1.0 18 December 2009

Page 21

ODD
1.28 Is any part of the premises within the Far North Queensland (FNQ)designated region?                              D




~No
DYes            .    It is recommended that you complete Part 20 of this checklist



1.29 Is the proposal for urban purposes, as defined under the Sustainable Planning Regulation 2009?


DNo
~Yes            .    It is recommended that you complete Part 21 of this checklist



1.30 Can the proposed use be pe ormed without the removal, destruction or damage of marine plants under
the Fisheries Act 1994?


DNo             .    It is recommended that you complete Part 22 of this checklist

~Yes


1.31 Is any part of the premises within the Wide Bay Burnett (WBB)designated region?


~No
DYes            .    It is recommended that you complete Part 23 of this checklist


Section reference:
        Sustainable Planning Regulation 2009, schedule 7, table 3, item 10




!part   7   -   Easements and substations


7.1 Is, or will there be any part of any structure or work that is the natural and ordinary consequence of the use
located completely or partly in the easement?


                     Go to question 7.4

I~NO I’
DYes

7.4 Is any part of the premises situated within 100 metres of a substation site under the Electricity Act 1994?



~No
                .    This aplication requires assessment by the entity responsible for the substation as an advice
DYes
                     agency



Section reference:
        Sustainable Planning Regulation 2009, schedule 7, table 3, items 8,9 and 16




                                                                                     Material Change of Use -IDAS checklist 2
                                                                                               Version 1.0 18 December 2009

Page 22

ODD

Ipart   9 Wetland
           -
                                           ~




9.1 Does the premises include a lot situated in or, or within 100 metres of, a wetland shown on the ’Map of
referable wetlands’ a document approved by the chief executive of the Department of Environment and
Resource Management?



DNo
               .     This application requires assessment by the Department of Environment and Resource
IZI Yes
                      Management as an advice agency

Section reference:
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 21




Ipart   19 -South East Queensland Region


119.1 Do any ofthe following apply?
the application is only for development proposed in a rural precinct and the development
                                                                                             IZINo               DYes
is consistent with the rural precinct

the application is only for development identified as exempt from assessment under the
                                                                                             IZINo               DYes
Sustainable Planning Regulation 2009, schedule 4

the application is only for development carried out under a development approval which
has not lapsed for a development application:
.   that was properly made before 28 July 2009 or
                                                                                             IZINo               DYes
.   to which division 2 of the SEQ 2009-2031 regulatory provisions applied

the application is only for development that is consistent with a preliminary approval
which has not lapsed, for the part of a development application mentioned in section
3.1.6 of the repealed Integrated Planning Act 1997 (IPA)that states the way in which the
effect of a local planning scheme is varied, where the development application for the       IZINo               DYes
preliminary approval was:
.
    properly made before 28 July 2009 or
.   assessed against division 2 of the SEQ 2009-2031 regulatory provisions

the application is only for development that is generally in accordance with a rezoning
approval where the development entitlements from the rezoning approval are conferred
by the following:
.   the resulting zone in a transitional planning scheme or
.   a development permit or acknowledgement notice mentioned in section 3.2.5(1 )(a) of

    the repealed Integrated Planning Act 1997 for a development application             IZINo                    DYes
    (superseded planning scheme)for the resulting zone in a transitional planning
    scheme which is a superseded planning scheme, or a notice issued under section 97
    of the Sustainable Planning Act 2009 (SPA)agreeing to apply the superseded
    planning scheme or
 .  a planning scheme (other than a transitional planning scheme)

the application is only for development that is declared to be a significant project under
                                                                                             IZINo               DYes
the State Development and Public Works Organisation Act 1971, section 26(1 )(a)

the premises are completely within a state development area under the State
                                                                                             IZINo               DYes
Development and Public Works Organisation Act 1971

    If you answered yes to any of the above, end of part 19 of the checklist.




                                                                                    Material Change of Use   -
                                                                                                                 IDAS checklist 2
                                                                                              Version 1.0 18 December 2009

Page 23

ODD
19.2 Is any part of the premises within a development area defined by the SEQ 2009-2031 regulatory
provisions?

                          Go to question 19.4

I~NO
DYes                I’
19.4 Is the proposed use for an extension of more than 10000 metres squared of retail floor space?


~No
                     .    This application requires assessment against section 4.1 of the SEQ 2009-2031 regulatory
DYes
                          provisions

                                                                                                     !   r’.~

19.5 Is any part of the premises outside the urban footprint area?
                                                                                                           .

                                                                                       ~   ~
                                                                                               I.!        ~




                          End of part 19 of the checklist

I~NO
DYes                I’
Section reference:
          South East Queensland Regional Plan 2009-2031 Regulatory Provisions, divisions 2 and 4
          Sustainable Planning Regulation 2009, schedule 7, table 3, item 12
          SEQ Regional Plan 2009-2031 Regulatory Provisions for the meaning of rural precinct.




Ipart    21     -
                    Conservation estate


21.1 Is the proposed use on a lot situated in, or within 100 metres of, any ofthe following?


a   protected area, forest reserve, critical habitat or area of major interest under
the Nature Conservation Act 1992
                                                                                       ~No           DYes

a state forest or timber reserve under the    Forestry Act 1959                        ~No           DYes
a marine   park under the Marine Parks Act 2004                                            ~No       DYes
a recreation area under the Recreation Area      Management Act 2006                       ~No       DYes
a world   heritage area listed under the World Heritage Convention                         ~No       DYes
Brisbane forest park under the Brisbane Forest Park Act 1977                               ~No       DYes

          If you answered yes to any of the above, then this application needs to be referred to the Department of
          Environment and Resource Management as advice agency.


Section reference:
Sustainable Planning Regulation 2009, schedule 2, table 2, item 45


Privacy    -
               please refer to the assessment manager for further details on the use of information recorded in
this checklist.


Disclaimer:

While the Department of Infrastructure and Planning (DIP)believes that the information contained on this checklist and
provided as part of this process will be of assistance to you, it is provided on the basis that you will not rely on the
information without first making your own enquiries regarding the interpretation and application of the applicable
legislation to your circumstances.


To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for negligence)
for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or other consequence
which may arise from your reliance on this process and the information contained on this checklist.




                                                                                           Material Change of Use -IDAS checklist 2
                                                                                                     Version 1.0 18 December 2009

Page 24

ODD

OFFICE USE ONLY



Date received                                       Reference numbers



The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning.




                                                                               Material Change of Use   -   IOAS checklist 2
                                                                                         Version 1.018 December 2009

Page 25

       "




                   .

        ’.1.       ,\



  <     UEENSL.ND LAND REGISTRY                                   .
                                                                                                                 TRANSFER                                                         FORM 1 Version 5
      Land Title A~{1994, Land Act 1994 a~d Water Act 2000
-I,,’                                                                                                                                                 Duty Imprint                         Page 1 of 1

 r                               .
                                                         Dealing Number
                                                                                                                                                                                           """"
                                                                                                                                                                                                         I
                                                                                                                                             ’3s""’2-n~
      1111111111111111 OFFICE USE ONLY                                                                                            Client No: ~6                  Duties Act 2001
      Privacy Statement                                                                                                           Transaction No: Sb 4-~<?a 78-;S’
      Collection of this Information Is aulhorlsed by the Land Title Act 1994 the
                                                                                                                                  Duty Paid $~ ~ 7..50               0Exempt
      !Jmd Act 1994 and the Water Act 2000 and Is used to maintain the publicly
      searchable registers In the land registry and the water register. For more                                                  UTI $     -
                                                                                                                                                                 ~   _
                                                                                                                                                                          ___-:::7
      Information about privacy In DERM see the department’s webslte.                                                             Date:-:uo 1~/14-...~


      1.               Interest being transferred (If shares show as a fraction)                                              Lodger (Name,address, E-mail & phone number) Lodger
                                                                                                                                                                                           Code
                       Fee Simple

      Note: A Form 24 Property Iriformation rrransfer) mllst be attached to this Form
                                     -




      where Interest being transferred Is "fee simple" (Land Title Act 1994), .State
      leasehold" (LandAct1994).or’WaterAllocation" (WaterAct 2000)

      2.               Lot on Plan Description                                          County                                Parish                                     Title Reference
                                                                                                      .




               .
                       Lot 1 BUP 2550                                                   March                                 Weyba                                      15735214

      3.            Transferor
                    HG.S. Pty Ltd ACN 010643464 trustee under Instrument 700122872
                   .




      4.            Consideration
                    $1,430,000.00
      5.            Transferee                  Given names                                      SurnamelCompany name and number                               (Include tenancy If more than one)
                                                                                                  Jacaranda No 12 Pty Ltd ACN 154885702 as
                                                                                                 trustee
                                                                                                                                               "’!



      6. Transfer/Execution The Transferor transfers to the Transferee the estate and interest described in item 1 for the
      consideration and in the case of monetary consideration acknowledges receipt thereof. The Transferor declares that the information
      contained in items 3 to 6 on the attached Form 24 Is true nd correct. The Transferee states the information contained In items 1, 2, 4
      to 6 on the attached Form 24 is true and correct. Where a solicitor signs on behalf of the Transferee the information In items 1, 2, 4 to
      6 on Form 24 is based on information supplied by th Transferee.

      NOTE: Witnessing officer must be aware of their obligations under section 162 of the Land Title Act 1994.

                          Separate executions are required for each transferor and transferee. Signatories are to provide to the witness,
                          evidence that they are the person entitled to sign the Instrument (Including proof of Identity).




                                                                                                                        1..1 / ’ /2Qlt
      ..........0.....      ..,.........to o. ..........0 0"   ..............II,.. ""
                                                                                                          .~.....II.’
                                                                                        ,.,....,...........




      Witnessing Officer (signature,full name & quallflcatlon)                                                          Execution Date                                     Transferor’s Signature




      ....................................................................................................
                                                                                                                            /    /
      Witnessing Officer (signature,full name & qualification)                                                          execution Date                                     Transferor’s Signature




      ....................................................................................................
                                                                                                                        ~     /0’-11)..               ..’:!.:b.:-::::::.....................................
                                                                                                                                                  .....




      Witnessing Officer (signature,full name & qualification)                                                          Execution Date              "Transferee’s or Solicitor’s Slgn ture
                                                                                                                                                .’SPl-t,i fARIIS FlaRe lelilee Allen, Solicitor



                                                                                                                          .


                                                                                                                            /    /
      Witnessing Officer (signature,full name & qualification)                                                          Execution Date                *Transferee’s or Solicitor’s Signature

      (Witnessing officer must be In accordance with Schedule 1                                                                 "Note:A Solicitor is required to print full name If 8lgning.on behalf
      of the Land Title Act 1994 eg Legal Practitioner, JP, C Dee)                                                                   of the Transferee and no witness is required In this instance




                                                                                                                                                                                                               I
L                                                                                                                                                                                                        ’.




      QCDOC4.Dorr                                                                                                                                                                                        _;_J,~

Page 26

QUEENSLAND LAND ~EGISTRY                        PROPERTY INFORMATION (TRANSFER)                                                           FORM 24 Version 5

                   (Thisform must accompany Land Registry Form 1                     -
                                                                                       Transfer when lodged In the Land Registry)
 Dulles Ac12001; Land Valuallon Acl2010, Land Tax Acl2010, Local Governmenl Act 2009, Wa/er Act 2000, ElectrIcal Safety Act 2002, Fir!! and Rescue S!!rvlce Acl1990
                                           South-Easl Queansland Wa/er (Dlslrlbullon and Retail Restructuring) Acl2009


PART A        -
                 Transferee to complete                                                      Title reference       15735214                         Page 1 of 2

r                                                                                                                                                                I
 Printed version   - this form must be printed and then                                                  Official use only
completed by hand.
Where insufficient space in an item, use Form 20
                                                                                                            11111111.11111111
(Enlarged Panel).
 Mark appropriate [ )with ’X’

 Refer to guide for completion for further information.


1.    Transferee
(a) Given names & surname                                               (b)Date of birth (0) Residential or business address
    or Company & ACN/ABN                                                   (ddfmmlyyyy)      after posseSSion                        .




                                                                                                    Po ~o.><. lqb                                      Vl   :
                                                                                                                                                                ?)1g4L(-
Jacaranda No 12 Pty Ltd ACN 154885702
                                                                                                                              ;T(’()if~
(d) Contact details after possession
    (i) Phone number 04Oc2.0 18..Jto
                                -




    (ii) Postal address As above [Xl QB complete address below
                                 -




         PO Box 1968, Traralgon Vie 3844


(e) Name of trust       -   N/A [    ]OR complete       -   Jacaranda No. 12 Unit Trust

(f)   Is transferee a foreign person 1 corporation?                         N/A [          NO [X I        YES [ ))>          Attach completed Form 25
                                                                                                                             (Foreign Ownership Information)
(g) Does transferee ordinarily reside in Australia?                         N/A [          NO [      )    YES [ X      )


2.    Transaction

(a) Date of possession .(dd/mm/yyyy)           -   28/02/2012                            )> The dale of possession Is the aclual date the transferee has
                                                                                            legal conlrol or ownership of the property. Usually, this is the
                                                                                            date ofsettlement, or the date as agreed to by both parties.

(b) Date of settlement (dd/mmlyyyy)           -    28102/2012                            )> The dale of settlement must be completed even where It Is the
                                                                                                                                                   .




                                                                                             same as the date of   possession.




 Information from this form Is collecled and used under the authority of legislation staled at the top of this form. It Is provided to aid Govemmenl
 departments, local authorities and Water distribution entities. Some Information may be Included in publicly searchable records maintained by those
 agencies. Information from the Valuation & Sales database may be provided to data brokers who may sell It as part of an Information package.
L                                                                                                                                                                J

Page 27

 QUEENSLAND LAND REGISTRY                                    PROPERTY INFORMATION (TRANSFER)                                                                      FORM 24 Version 5

                          (This form must accompany land Registry Form 1                                -  Transfer when lodged In the Land Registry)

 PART B              -  Transferor to complete                                                                    Title reference 15735214                                   Page 2 of 2

IPrinted version this form   -
                                              must be printed and then                                                                        Mark appropriate [             ]with ’X"
      completed by hand.                                                                                                Refer to guide for completion for further information.

      Where Insufficient space In an item, use Form 20
      (Enlarged Panel).
 3.        Transferor’s residential or business address after settlement
           Suite 8, 80-84 Balllna Street, Lennox Head NSW 2478

 4.        Details of sale price
                                                                                                          (b) Water allocation                N/A [XJ OR complete below
 (a) Property excluding water allocation
       .
                                                                                                                                          -




 Cash                                                       $1,300,000.00                                 Cash                                                $
 Vendor terms                                               $                                             Vendor terms                                        $
 Assumption of liabilities                                  $                                             Assumption of liabilities                           $
                                 .




 GST                                                        $130,000.00                                                                                       $
 Other (specify above)                                                                                    Other (specify above)
                                                Total $1,430,000.00                                                                                   Total $


 5.        Property details
 (a) Land 1 Water allocation                          (b) Property address
     description
 Lot                      Plan type & no.             Street no.            Street name                                                 SuburbfTown/Locality                   Postcode

 1                        BUP 2550                    12                    Hastings Street                                             Noosa Heads                            4567


                                                             (d)Current land use                          (e) Water allocation                N/A [X J OR complete below
 (c)Property transferred Includes                                                                                                         -




 Plant & machinery                               [ ] Vacant land                                                (I)     Is water allocation unsupplemented?
 Livestock                                       [ ] Dwelling                                                           NO [] YES [ ]}\> complete (Ii) below
 Crops                                           [ ] Multi-unit
 Existing right                                  [ ] Flats                                                      (ii) Reference number of the water allocation
 Movable chattels                                [ ] Guest house 1                                                   dealing certificate unsupplemented
                                                                                                                                                  -




 Water licence                                   [ ] Private hotel                            [
 Interim water allocation                        [] Farming                                   [
                                                 [ ] Industrial                               [ J
 Other (specify above)                                       Commercial                       [X]
                                                                                              [ ]
                                                             Other (specify above)

 (f) Safety switch
                                                                                                                        N/A             NO [           YES [
     (i) Is an electrical safety switch installed?                                                                          [.0(1
                                                                                                                        N/A             NO [           YES [
     (ii) Has transferee been informed in writing about its existence?                                                      [(J
 (9) Smoke alarm
                                                                                                                        N/A [>(J        NO [           YES [
     (i) Is a compliant smoke alarm/s Installed?
                                                                                                                        N/A [;(]        NO [           YES [
     (II) Has transferee been Informed In writing about its existence?

 6.        Transaction information

 (a) Has an agreement in writing for the transfer of dutiable
                                                                                                                        NO [ ]          YES [Xl)\> If Yes, complete (b)below
     property been entered Into?
                                                                                                                                        30/12/2011
 (b) Date of written agreement (ddlmmlyyyy)-
 (c) Are the transferor and transferee related or associated
                                                                                                                                                        }\> If Yes, complete (d)below
                                                                                                                                                                                            .




           at the date of the transfer?                                                                                 NO [ X ] YES [ 1
                                                                                                                                      Office of State Revenue
 (d) state the degree of relationship or assocIation and supply evidence of value to
                                                                                                                                                                         -




                                                        .............................................................
           ..............................................
                                                                                                                      .......................................}\> See guide for completion

 (e) Is the consideration less than the unencumbered value
     of the property included In this transaction?                                                                      NO (X        ] YES [            )\> See guide for completion

 (1)       Does this transaction form part of an arrangement that
                                                                                                                        NO[ X J YES [                   }\> See guide for completion
           includes other dutiable transactions?



L                                                                                                                                                                                           _j

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