SCC Request to Change Existing app form · 51997.2256.01

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[Application numbericouncil reference 11852 TC __ {Date issued 6.11.2007
| Is the approval for a mobile and temporary ERA? YNo OO _Yes — complete below
Insert the name of each focal government area in which the mobile and temporary ERA is Proposed to operate/operating

 

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

i ¥ To change the development |) To change the development C1 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

 

UnitNo, | Street No 40 | Street Hastings Street oe
Suburb NoosaHeads —C~S State Qld ‘Postcode 4567
Lot2 | SP108891

 

 

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5. Concurrence Agencies
| Was there one or more concurrence agencies involved in the original approval? ¥ No
_O Yes-provide details below
Note — Under 8372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence agencies. i

   

Concurrence Agency

6. Pre-request response notice

Has a pre-request response been given bya relevant entity (eg. a concurrence agency) for this request?
AN) 7 _— | Yes
iif yes, please attach a copy of the notice.

7, Qwner’s consent

Is the owner's consent required for this request? | ONo | ;
| - 1% Yes— complete either Table A or Table B below
Note ~ If more than one owner of the land all owners’ details are required

 

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Table A —- owner’s consent provided on form

 
 

 

GIN Ce

ij Wi 0 brit Aalhoa. yf
\° ner’s name/s Ms hel & (ore. |

Wwe, the above-mentioned owner/s of the land, consent

| to the making of this request. Ok i
Sn ne
Signature/s BZ Aa
bone ee

Date | u/afeors .

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 \

Table B — owner’s consent provided on form

|
Owner's name/s | - |

-O The owner's written consent is attached, ,

' approval relates, the request must be accompanied by the owner’s consent.

, However, owner's consent is not required if the approval:

| 7 felates 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

___does not materially affect the owner's land.

   

Schedule 14?
| No
Nature of State owned resource:
| Nature of Evidence required:

| Evidence of allocation of / entitlement to, the resource io Evidence the chief executive has agreed to the request

| Attach a copy of the evidence required above
NOTES: For question 8

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

iO Yes -— complete below details

— _ having regard to the nature of the proposed change, the owner has unreasonably withheld consent and the requested change

  
   

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).

the application to be supported by certain evidence prescribed under regulation. Schedule 14 of the Sustainable Planning Regulation

Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a State resource, a regulation may require |
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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 -

 

\We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this
application with the Sunshine Coast Regional Council. Should any of the details given in relation to this application be
| changed in the future, the applicant shall advise the Sunshine Coast Regional Council in writing prior to any such change .

_ being implemented.
| Signature/s

‘Date

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Application no. |Amountpaid _| Date paid ; | Receipt no. | Initial _| Date stamp -

  

 

 

 

Receiving Officer _ _ a |
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Payment options

! In person | Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays):

By mail | Cheque or money order to be made payable to: Sunshine Coast Regional Council.
‘Cheque -C Money order CO Mastercard 1 Visa
Cardnumber | Expiry date Amount $
Name on card {Signature ofcardholder
Phone | Is a receipt required? O Yes O1No |

3 of4 2012/13 Regional Strategy and Planning Request to Changé Existing Approval and/or Extension té Relevant Period FMI002s