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Noosa Request to Change Form

Attached to the e-mail MCU14/0102.02 Change to existing approval.

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| @ | 5 = Request to Change Existing Approval and/or
mom NOOSA COUNCIL Extension to Relevant Reticd

Sustainable Planning Act 2009

This form must be submitted to Council accompanied by the applicable fee.
Attach extra pages if there is insufficient space on the form.
Please note that for development approvals that include water and sewerage conditions, a Unitywater fee may also apply.

 

1. Details of person making the request

Full name — Empirica Developments Pty Ltd c/- DFS Group
Contact Name - Peter Folker

Postal address — PO Box 605

Suburb ~ Maroochydore State - Qld Postcode — 4558
Business phone — 5443 5566 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?

X Development Permit X Council

Ol Preliminary Approval QO Other entity — please specify

O Compliance Permit

X Material Change of Use

O Reconfiguring a Lot

X Operational Works

O Building Works

O Plumbing or Drainage Works

O Compliance Certificate

O Environmentally Relevant Activity

Application number/council reference Change to an Exisitng Approval Notice Date issued 28.09.15 (first
MCU14/0102 & OPW15/0051 changed approval)

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)

X  Tochange the development X To change 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.

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 Goverment 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.qlid.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121

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4. Location of the premises

Unit No. Street No 139 Street Eumundi Noosa Road

Suburb Noosaville State Qld Postcode 4566
Unit No. Street No 30 Street Lionel Donovan Drive

Suburb Noosaville State Qld Postcode 4566
4 SP159610

31 1 SP170751

 

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

If yes, please attach a copy of the notice.

remem aret Ling

Is the owner's consent required for this request? ONo
X Yes— complete either Table A or Table B below

 

Note ~ If more than one owner of the land all owners’ details are required

BE lw wee Ta meet cela Celiit Table B — owner’s consent provided on form

Refer to attached correspondence
Owner's name/s Owner's name/s

IWe, the above-mentioned owner/s of the land, consent O The owner’s written consent is attached.
to the making of this request.

Signature/s

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:

-  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

- 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?
XNo O Yes — complete below details

 

Nature of State owned resource:
Nature of Evidence required:
O Evidence of allocation of / entitlement to, the resource 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 , Date 16.10.15

 

 

OFFICE USE ONLY

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

Receiving Officer

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