NC Pre Request Response Form

                                                                                                   Pre-Request Response Application



                                                                                                                                   Planning Act 2016
ALL questions MUST be completed unless the form indicates otherwise.
This form must be submitted to Council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.
All terms used on the form have the meaning given in the Planning Act 2016 or the Planning Regulation 2017.

1. Details of person making the request
Full name – individual or company                        Mr Greg Woolley
Contact Name – for company                             C/ Nadine Gorton or Martoo Consulting
Postal address                           Po Box 1684
Suburb                                   Noosa Heads                                  State       Qld                    Postcode          4567
Business phone 5447 2550         A/H phone                                                              Mobile
Email address   [email protected]                                                             Fax

2. Details of existing approval
Type of approval (please tick ALL applicable categories)                      Which entity issued approval?
    Development Permit                                                           Council
    Preliminary Approval                                                         Planning & Environment Court
    Material Change of Use                                                       Minister (under part 11, division 2)
    Reconfiguring a Lot                                                          Other entity – please specify
    Operational Works
    Building Works
    Plumbing or Drainage Works
    Environmentally Relevant Activity
Application number/council reference                  23643 DA                                                       Date issued        12.08.2004
Is the approval for a mobile and temporary ERA?                                                   No                     Yes – complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating



3. Nature of proposed change/s (please tick ALL applicable categories)
To change the development approval issued by:                                 To change the conditions issued by;
    Planning & Environment Court                                                 Planning & Environment Court
    Minister                                                                     Council (as a Concurrence agency)
    Other entity – please specify:                                               Minister
                                                                                  Concurrence Agency – please specify:
                                                                                  Other entity – please specify:
Please attach documentation outlining the detail of and the reasons and justification for the requested change/s.




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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