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RAP FORM 30 mossman
Advertising Devices
Request for ReferralApplication Form
Agency Response
(Class 1a or Class 10 building or structure)
1. Applicant Details
Applicant DD SUNNYSIDE PTY LTD (TTE) CD SUNNYSIDE PTY LTD (TTE)
c/ pivotal perspective pty ltd
Postal address 3/93 Hilton Tce Postcode
Phone 0406 334 227 Email
2. Assessment Manager
Noosa
3. Property Details
Address 30 Mossman Ct, Noosa Heads Postcode
Lot 149 Plan No. N21859 Property No. Zone: LDR
4. Existing Approvals
Do any existing approvals and/or Plans of Development apply to the site?¹ (please tick ) No Yes
If yes, application number:
¹NOTE: The referral provisions of Schedule 6, Part 2, Item 2 cannot be used to resolve inconsistencies between a building application
and a higher order approval, including Plans of Development (for example, differences in building setbacks, site coverage). If the
proposed detached house does not comply with a higher order approval and/or Plan of Development, then Council may direct refusal
of the application unless: (i) the plans for the detached house are amended to comply with the higher order approval and/or Plan of
Development; or (ii) Council approves a change to the higher order approval and/or Plan of Development that reflects the proposed
detached house.
5. Description of proposal
• Concurrence Agency Referral for siting, amenity and aesthetics
Is this a Change to an existing Referral Agency Response? (please tick ) No Yes
6. Reason for referral (please all applicable boxes)
The development would have required a development permit for a material change of use (code or impact assessable) if
Schedule 6, Part 2, of the Planning Regulation 2017 did not apply for the use.
Probable solution Element Extent of non compliance
(e.g. S1.1) (e.g. annexed unit, filling/excavation) (brief description)
PO8&9 Siting and site cover
7. Reasons for and justification of this request (i.e. how the proposal complies with the specific outcomes)
attached report
Privacy
Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is authorised to collect
this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your personal information is only accessed by
persons authorised to do so. Your personal information is dealt with in accordance with council’s privacy policy.
www.noosa.qld.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121
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8. Attached Documentation*
Plan/Drawing/Report Number Title Date
*Please enclose documentation with request. Three (3) copies of plans and any other material relied on in support of the submission.
OFFICE USE ONLY
Application no. Amount paid Date paid Receipt no. Initial Date stamp
Completed by: Date:
Payment options
In Person 9 Pelican Street, Tewantin: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By Link A payment link will be forward to you once your application has been lodged.
By mail Cheque or money order to be made payable to Noosa Council.
Cheque Money order
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