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Change Existing Approval Form

Attached to the e-mail 132005.1133.3 - Request to Change Existing Approval.

of 4

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a Request to Change Existing Approval and/or
mem NOOSA COUNCIL Extension to Relevant Period
; 2015/16

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 — individual or company ALTy PROPERTIES NO. 4 PTY LTD Cl- SFP URBAM COUSUTALSS
Contact Name -forcompany (EAUIUE SiIMPSoO/)

Po tal address Po Rox G6

 

 

 

 

“Suburb MAROOCHY DOLE State QU Postcode 499
Business phone 5450 3¢100 A/H phone Mobile
Email address Isimpson@ fp. CUA . Fax

 

2. Details of existing approval

Type of approval (please tick ALL applicable categories) Which entity issued approval?

Development Permit a 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 2005 /'\\S3 ee Date issued \/\\/o7

Is the approval for a mobile and temporary ERA? No 1 Yes — complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating

Ooaagogoonggoo

 

 

 

 

 

3. Nature of request (please tick ALL applicable categories)
O Tochange the development [{ To change the development O To extend the relevant period

approval conditions before lapsing

 

 

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 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.qid.gov.au [email protected] T 07 5329 6500
PO Box 141 Tewantin Qld 4565 ABN 97 969 214 121
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Page 2

4. Location of the premises

   

 

 

DIARENS. eee eG etree! S UW ______
Suburb = \pwosA, HEADS ate GUD Postcode 4567
Lot no. fue ee moe

SP 176340

 

 

 

 

 

 

 

5. Concurrence Agencies

Was there one or more concurrence agencies involved in the original approval? O No

 

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.

foci teCuwe laatg Date copy given

Seren CroRMeR DRM) TBA

 

 

 

6. Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?

No O Yes
If yes, please attach a copy of the notice.

yee Tae meer d

Is the owner’s consent required for this request? Ol No
WYes— complete either Table A or Table B below
Note — If more than one owner of the land all owners’ details are required

 

 

Be oe ee aay ie meme) Table B — owner’s consent provided on form

STARCO AOLOWAS ITY LM)

Owner's name/s SSIES Owner's name/s

 

IWe, the above-mentioned owner/s of the land, consent he owner’s written consent is attached.
fo the’ making of this request: (amma :

 

 

Signature/s La ed

Date

Page 3

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.

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

Schedule 14?
EYNo O Yes — complete below details

 

Nature of State owned resource:

   

Nature of Evidence required:
O1 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 WS en _ Date BV7/IS~

 

Page 3 of 4

Page 4

OFFICE USE ONLY

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

Receiving Officer

Payment options
Inperson 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.

J Cheque TB Money order O Mastercard ~ O Visa

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.

 

 

 

   

 

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