Application Receival Checklist, Forms and Plans

                                                                                                    B0320661
    Sunshine Coast                                           DEVELOPMENT APPLICATION LODGEMENT CHECKLIST


                                                                              DETAILS & FEES
  Nature of Devclopinent:                                                 t_^.
                                              -                                            -    r4    - - - - -                  -
 Addre.:                                                         ZS
 RPD:                                                                                                           1
 Planning Scheme:                                               osa Plan 2006                          Superseded Planning                       8
                                                                                                                                 110-m-e
                                                       q Maroochy Plan 2000                            q No
                                                                                                                                                             19
                                                       q Caloundra City Plan 2004                      q Yes - provid de
 Planning Area & Precinct:                             Planning Area/s:                                Planning Preci
                                                                                                                                  2s
 Pre-Iodgement/Frofessional Officers                            o 7 Yes Date                     Reference                                  ^
 meeting:                                                                                                                -


                                                                       Assessable Development                                 Compliance Assessment
         Application Type & Level of
                Assessment                              Code       Impact        Development          Preliminary             Certificate             Permit
                                                                                   Permit              Approval
                                                                                                     -     [1             -                -             H
 MCU                      L] ERA                           q         [7                Li                                         Cl
 Reconfiguring a Lot                                       F1        []                q                      17                  q                      F1
 Building Work                                             LI        q                 (]                     1-1                 q                      ( 1

 Operational Work                                          [_        []                [                      []                  []                     (
 [Prescribed Tidal Works
 Compliance Certificate -                                                                                                         q
 Documents/Works (includes
 Subdivision Plan/s under SPA 2009)
 Subdivision Plan/s under IPA 1997                     q
 Schedule 4 SP Reg 2009 Referral                       [],
                                                                                                                                                             OE1VE
Change Approval/Extend Period                          q Change to Approval and/ or Conditions

 q Pre-request Response Notice (PRRN)
                                                       (7 Extension to Relevant Period                                                                               ,o k
 q Referrals to Council under s372 SPA
Higher Order Application No:                                                                                                                             N.,mao

Owners Consent                                             Not required          q Required                  q Supplied                [_i Declared
Note: Not required in all circumstances,                                                                     (Table D or E)            (Table F)
ifs'r1/-1ina Reauost far Cmmilliance




Application Fees                 Has the relevant application fee b een                Attach fee breakdown or fill in relevant details below
                                 paid?

                                                                                 MCU
                                 LJ^Y'es                                         ROL:
                                 q No - provide details below:                   Operational Work:                                               $ 1 So
                                                                                 Building Work:                                                  $
                                 q Underpayment amount:
   is^ C                         q Overpayment amount:
                                                                                 Compliance Permit:
                                                                                 Compliance Certificate:
                                 q Fee Variation - quote number:                 Subdivision Plan/s under IPA 1997                              1 $
                                                                                 Schedule 4 SP Reg Referral:
                                                                                 Change Approval/Conditions or PRRN or s372
                                 q Concession - provide details:
                                                                                 referral:
                                                                                 Extension to Relevant Period
                                                                                 Combined Change/Extension:
                                                                                 Unity Water Fee
                                                                                 TOTAL FEE:

                                                                                           e6!5'       :                 /!0 3

PD•DA-FM4 1 212-1 9/0 7/20 1 0
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