SCC permissible change form signed

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O Environmentally Relevant Activity

Application number/council reference TPC 2478 and TPC 2888 Date issued 1996

Is the approval for a mobile and temporary ERA? x 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

 

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

¥ To change the development O Tochange 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. 7 Street No 62 Street Hastings Street

Suburb Noosa Heads State Qid Postcode 4567
Lot no. Plan type & plan no.

7 BUP103167

 

5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval? ~ No
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?
wv No O Yes

If yes, please attach a copy of the notice.

 

remem R Olle
Is the owner’s consent required for this request? DO No

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

 
 
    

le A — owner's consent provided on form
Owner’s name/s oF Quer / é MWe, the above-mentioned owner/s of the land, consent
20f4 2012/13 Regional bt. and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s

but Any thos Do,
Phy Tohalkad

vo’

RLON

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to the making of this request, A C Q\

Sane)
> go

aX 4/1 fA 0 The owner's written consent is attached

POA OIG ~ CARPE ei) FRemoH RUARER Bor. (HOR Ale
Date 7 0/2017 -

MET) eel Ua Uae) iB aR provided on form

Owner's name/s

 
 

Signature/s

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

es the request involve a State resource prescribed under SustainablePlanning Regulation 20

 

O Yes — complete below details

Nature of State owned resource

Nature of Evidence required:
D Evidence of allocation of / entitlement to, the resource + O Fvidence 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

I/We, the applicant, declare that the above information is correct in ali 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

3o0f4 2012/13 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Perioc FM3002s

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OFFICE USE ONLY

Application no. —§ Amount paid Date paid Receipt no. Initial Date stamp

Receiving Officer

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.
UO 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

40f4 2012/13 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s