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Permissible Change form Signed
Attached to the e-mail Change to Development Approval - 51994.1353.01.
qe Request to Change Existing Approval and/or mo NOO COUNCIL Extension to Relevant Period Sustainable Planning Act 2009 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. If Council was the Assessment Manager for the existing approval, and the approval was issued by the Court, then: - (a) a request to change the development approval and/or conditions is made to the Court; and (b) a request to extend the relevant period for the approval is made to Council. All terms used on the form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning Regulation 2009. 1. Details of person making the request Full name — individual or company Grill'd Pty Ltd Contact Name — for company C/ 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 O Other entity — please specify Compliance Permit Material Change of Use Reconfiguring a Lot Operational Works Building Works Plumbing or Drainage Works Compliance Certificate Environmentally Relevant Activity Application number/council reference TPC2696 Date issued 12.08.1994 Is the approval for a mobile and temporary ERA? ™ No O Yes —complete below | Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating OOOO0O0O00 &, 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. Wwww.noosa.qid.gov.au [email protected] T 07 5329 6500 PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121 Page 1 of 4
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3. Nature of request (please tick ALL applicable catego
M To change the development
approval
[M Tochange the development Ol Toextend the relevant period
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. 5 | StreetNo 50 Street
Suburb Noosa Heads State Qld Postcode 4567
Lot no. Plan type & plan no.
SP108800
Hastings Street
|
| :
5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? No
oO Yes-provide details below
Note — Under s372 of the Sustainable Planning Act 2009 the person making the request is Tequired 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?
LYNo [Yes
If yes, please attach a copy of the notice.
WON Te Ree
Is the owner's consent required for this request? ONo
WY Yes— complete either Table A or Table B below
Note — If more than one owner of the land all owners’ details are required
Table A — owner’s consent provided on form Table B — owner's consent provided on form
RU gsTarreer + y
Owner's name/s Rumen Hosrrnert Hee Oi Owner's name/s_ |_-—-_________
Wig THE KvTivets aed SIME TOT _ -
We, the above-mentioned owner/s of the land, consent O The owner's written consent is attached.
to the making of this request. —_
V i¢ eA hon
Signature/s
Date Voi bs \ |
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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. Aiea rs request involve a State ete prescribed under the SustainablePlanning Regulation 2009, eke No [Dl Yes — complete below details Nature of State owned resource: Nature of Evidence required: 1 Evidence of allocation of / entitlement to, the resource [oO 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 \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 Council in writing prior to any such change being implemented. Signature/s Se, oho OW ber nef S) | Date /. 6.2017 Cattee ’ Page 3 of 4
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Application no. | Amount paid | Date paid | Receipt no. [Initial Date stamp Receiving Officer 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 C1 Mastercard O Visa Card number Expiry date [Amount $ Name on card 7 Signature of cardholder | Phone Nig receipt required? ~ DYes 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. Page 4 of 4