Request to Change Existing Approval.

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3. Nature of request (please tick ALL applicable categories)

'&f To change the development |X To change the development ;|O To extend the relevant period
| approval conditions | before lapsing

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

 

  

4. Location of the premises
Unit No. A |StreetNo 21 [Street YENEE pewE
Suburb WcOSaAnLLe State GLO Postcode S64

  
  

 

 

Plan type & plan no.

4 | SP 2G 0OF4

 

 

 

 

 

 

 

5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? LYNo
O Yes-provide details below

Note — Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
| concurrence agencies.

Concurrence Agency | Date copy given

 

 

 

 

 

 

 

 

 

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

CINo [efYes Conc, Ranved (ema).
If yes, please attach a copy of the notice.

 

 

 

  

7. Owner’s consent

   

Is the owner's consent required for this request? | ONo

| Yes— complete either Table A or Table B below
Note — If more than one owner of the land all owners’ details are required

 

 

 

     

  

Table B— owner’s consent provided on form

 

| Table A — owner's consent provided an fo

 

 

 

 

 

 

 

'
X = ss

C Owner's name/s Sast os. = ms Owner's name/s
oe USO ONS
|) "We, the above-mentioned owner/s of the land, consent int O The owner's written consent is attached
tc to the making of this request. -
(aE — ofr YK - ee

MX Aare SSeS

¢ Signature/s Ltt ae ice

C

 

Date |

ge elélm

 

 

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| NOTES: For question 7

| Under section 371 of the Sustainable Planning Act 2009, if the person making the request is not the owner of the land to which the
| | approval relates, the request must be accompanied by the owner's consent.

| | However, owner's consent is not required if the approval:
ee relates to land the was acquisition land to which section 263(2)(d) of the Sustainable Planning Act 2009 applied when the
application for the approval was made; or

- is for building work or operational work for the supply of community infrastructure on land designated for the community
infrastructure; or

 

| - the consent of the owner would not be required under section 263(1) of the Sustainable Planning Act 2009 if a development
application were made for the requested change.

Also, owner's consent is not required if the Assessment Manager is satisfied that:

- the number of owners of the land make it impractical to obtain owners’ consent, and the requested change does not materially
| affect the owners’ land; or

| - having regard to the nature of the proposed change, the owner has unreasonably withheld consent and the requested change
| does not materially affect the owner's land.

  
  

8. Does the request involve a State resource prescribed under the SustainablePlanning Regulation 2009,
Schedule 14?

 
   

| O Yes — complete below details
| Nature of State owned resource:
| Nature of Evidence required:

(1 Evidence of allocation of / entitlement to, the resource a Evidence the chief executive has agreed to the request
Attach a copy of the evidence required above
| NOTES: For question 8

| Section 370(3) and (4) of the Sustainable Planning Act 2009 requires that if an application for the development approval were made at!
| the time of making this request and evidence under section 264(1) of the Sustainable Planning Act 2009 would be required to support
\the application, this request must be accompanied by the written agreement of the chief executive from whom evidence would be
| required under section 264(1).

 

 

| Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a State resource, a regulation may require
the application to be supported by certain evidence prescribed under regulation. Schedule 14 of the Sustainable Planning Regulation
2009 prescribes the State resources for which evidence is required to be given, and the evidence required, to support the application.

 

 

 

9. Declaration of applicant

 

 

icant, declare that the above information is correct in all respects, at the time of lodgement of this
application with Council. Should,any of the details given in relation to this application be changed in the future, the}
| applicant shall advisé Co vise Counc writingyprior to any such change being implemented.

Signature/s [LAK [gl/ ( [Date 20-C-Zoi4

 

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‘Application no. | Amount paid | Date paid | Receipt no. | Initial | Date stamp
oe EE | Si

  

| | eee | |

| Receiving Officer

se E See

 

   

Payment options

 

 

 

 

 

 

 

 

 

[In person | 9 Pelican Street, Tewantin: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
| By mail | Cheque or money order to be made payable to Noosa Council.
| O Cheque O Money order O Mastercard O Visa

Card number Expiry date Amount $

Name on card Signature of cardholder

Phone - Is a receipt required? O Yes ONo
All payments made by credit card will incur a 0,50% surcharge (exempt of GST) to reflect the cost of fees charged for credit card
transactions.

 

 

 

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