NC Superseded Planning Scheme Request Form - Signed

 

Development Assessment
Request to apply a Superseded Planning Scheme

 

Section 29 of the Planning Act 2016

All terms used on the form have the meaning given in the Planning Act 2016 or the Planning Regulation 2017,
1. Details of person making the request

Name — individual or business Fiona Helen Smith /Care - Adamson Town Planning Pty Ltd
Contact name — for business

Postal address PO Box 894

Suburb Cooroy State QLD Postcode 4563

Business phone Mobile 0437 754 420
Email address [email protected]

2. What is the nature of the request

M To accept, assess and decide a proposed development application under a superseded planning scheme.
Attached is a copy of the proposed superseded planning scheme application.

i To apply a superseded planning scheme to the Carrying out of assessable development, prohibited development or

development that was, under the superseded planning scheme, exempt development or accepted development
Attached is a description and plan of the proposed development

3. Please provide information about the property address for the premises to which this request relates.
Property Address

Address 7 Martin Street Postcde 4573
Lot No. 266 Plan type and plan No. P93113

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

M Yes — proceed to question 5
1 No

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

O Yes
MM No

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

6.

& Material change of use of premises
O Reconfiguring a lot

O Operational work

Building work

7. What type of approval will be sought? (tick applicable box/es)

ining i i ; iis authorised to collect
: i rovided for the intended purpose only and for remaining in contact with you. Counci 0 collec
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o so. Your personal information is dealt with in accordance with council's privacy [email protected] T 07 5329 6500
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