NC Changes form · 132007.799.1

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

"MW To change the development O Tochange the development O To extend the relevant period
l approval ! conditions before lapsing

ne Ss ee 2 encanta reemee

  

  

 

| | 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. Street No 15 Street Grant Street
; Suburb Noosa Heads State Qld Postcode 4567

 

 

[L 0 7 " §P226607

 

   

5. Concurrence Agencies
| Was there one or more concurrence agencies involved in the original approval?

  
  
     

   
 

vide details below

 

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iNote— Under 8372 of the Sustainable Planning Act 2009 the person making ti the request i is Tequired to give a copy of this | request to all
concurrence agencies.

 

  

6. Pre-request response notice
H; sa pre-request response been given bya relevant entity (e. g. a concurrence agency) for this request? —

  
 

7. Owner’s consent
‘Is the owner's consent required for this request? re
ee MW! Yes— complete either Table A or Table B below

Note - ifn If more than on one owner of the land all owners’ details are required

   

 

   

: Owner's name/s

et, sa ‘3 '
We tAie/) Owner's name/s i

“Me, tk the above-mentioned owner/s of the land, consent | la The ov owner's written consent i is attached.
to the making of this'request. _ ; an

7
Signature/s bin XG

  
  

Date

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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: |

- 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?
No. O Yes - complete below details
Nature of State owned resource:

Nature ofEvidencerequired: == —s—“‘s‘“*~“‘~*~*s~‘s‘“‘“s~C‘ststsS

   

 

nitlement fo, the resource_[C] Evidence the chief executive has agreed tothe request _

ott

  

NOTES: For question

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 i
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 Stale resources for which evidence is required to be given, and the evidence required, fo 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 Council. Should any of the details given in relation to this application be changed in the future, the
applicant shall advise Coyhti ifing prior to any such change being implemented.

wm Fate afcfis

 
 

 

 

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OFFICE USE ONLY

| Application no. __‘ Amount paid as paid Receipt no. Initial Date stamp

(Receiving Officer

 

Payment od
An person (9 Pelican Street, Tewantin: 8.30 am to 4. 30 pm Monday to Friday (excludes public holidays). —

By mail i | Cheque or money order to be made payable to Noosa Council,
io Cheque ‘dd Money order ‘oO Mastercard — O Visa

 

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