FM3002s Request to Change Existing Approval and-or Extension to Relevant Period - Signed · OPW11/0335

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3. Nature of request (please tick ALL eu (or Cye reli (:t)]

( To change the development ' To change the development |B To extend the relevant period
approval conditions before lapsing

Please attach documentation outtining the detail of and the reasons and justification for the requested. change or.
[ extension.

 
 
  
  
 

 

4, Location of the ial

Unit No. | Street No 215 0 | Street David Low Way

Suburb _Peregian Beach [State QLD ~ |Postcode 4573

   
     

   

 

Peete ae cme Clare (ty

Was there one or more concurrence agencies involved in the original approval? |b No
a Yes-provide details below

 

Note - Under $372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all :
concurrence agencies.

 

NIL

 

 

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e. g. a concurrence agency) | for this request?
a No
if yes, please attach a copy of th

     

 

    

 

 

ees
Is the owner's consent required for this request? C1 No
ry Yes- ‘complete either Table A or Table B below

Note - If more than. one owner of the jand all owners’ details are required

 

 

 

  

HE ee ues CUR
Thomco (No. 2087) Pty Ltd

    

Owner's name/s Lassen

'
| Owner's name/s

 

\We, the above-mentioned owner/s of the land, consent la The owner's written consent is attached,
to the making of this request. oe ee : :

  

Signature/s

Date | 9/¢ ory |

 

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| NOTES: For q
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 fand 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.

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8. Does the request involve a State resource prescribed under the SustainablePlanning Regulation 2009,
Schedule 14?

f@ No ; - | O Yes - complete below details

   

tate owned resour
idence required:
a Evidence of allocation of i entitlement to, the resource Oe Evidence the chief executive has agreed to the request

‘Attach a copy | of the evi dence 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.

  

re of

   

 

        

 

   

9. Declaration of applicant
IWe, the applicant, declare that the above infg

   
  
 

ation is correct in all respects, at the time of lodgement of this

 

 

application with Council. Should any of HEAipxails given in relation to this application be changed in the future, the
applicant shall advise Council in wrifa yo any such change being implemented. _
Signature/s_ Date Gs .4 fda yp

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Application no. | Amount paid Date paid — _ fee no. “Initial a / Date stamp .

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[Receiving Officer ; -

  

 

 

 

 

Payment options

[In person /9 Pelican Street, Tewantin: 8.30 am to 4. 30 pm Monday to Friday (excludes public holidays). ; |
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| By mail Cheque or money order to be made ‘payable to Noosa Council.

| R Cheque “|on Money order a Mastercard _ (oN Visa

| Card number - : _ _ - — - - : — _ “Expiry date : : amount §

Name on card _ _. Co | Signature of cardholder . i
| Phone | Oo [Is areceipt r required? _OYes ONO |

 

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