Request to Change Existing Approval and/or
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
Contact Name – for company
Postal address
Suburb
State
Business phone
Postcode
A/H phone
Mobile
Email address
Fax
2. Details of existing approval
Type of approval (please tick ALL applicable categories)
Which entity issued approval?

Development Permit

Council

Preliminary Approval

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
Is the approval for a mobile and temporary ERA?
Date issued

No

Yes – complete below
Insert the name of each local government area in which the mobile and temporary ERA is proposed to operate/operating
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.qld.gov.au
PO Box 141 Tewantin Qld 4565
[email protected]
T 07 5329 6500
ABN 97 969 214 121
Page 1 of 4
3. Nature of request (please tick ALL applicable categories)

To change the development
approval

To change the development
conditions

To extend the relevant period
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.
Street No
Street
Suburb
Lot no.
State
Postcode
Plan type & plan no.
5. Concurrence Agencies
Was there one or more concurrence agencies involved in the original approval?
 No
 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?
 No
 Yes
If yes, please attach a copy of the notice.
7. Owner’s consent
Is the owner’s consent required for this request?
 No
 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
Owner’s name/s
Owner’s name/s
I/We, the above-mentioned owner/s of the land, consent
to the making of this request.
 The owner’s written consent is attached.
Signature/s
Date
Page 2 of 4
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?
 No
 Yes – complete below details
Nature of State owned resource:
Nature of Evidence required:
 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
I/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
Page 3 of 4
OFFICE USE ONLY
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.
 Cheque
 Money order
 Mastercard
 Visa
Card number
Expiry date
Amount $
Name on card
Signature of cardholder
Phone
Is a receipt required?
 Yes
 No
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