„oiromoios. Applicati▪ on to

Of f i ce Use O n l y Application No.: Date Lodged: /

4r, •

Southern Grampians AMEND a Planning Permit S H I R E C O U N C I L If you need help to complete this form, read MORE INFORMATION at the end of this form.

A Any material submitted with this application, including plans and personal information, will be made Planning Enquiries available for public viewing, including electronically, and copies may be made for interested parties for Web: www.sthgrampians.vic.qov.au the purpose of enabling consideration and review as part of a planning process under the Planning

and Environment Act 1987. If you have any questions, please contact Council's planning department. A This form cannot be used to:

• amend a permit or part of a permit if the Victorian Civil and Administrative Tribunal (VCAT) has directed under section 85 of the Act that the responsible authority must not amend that permit or that part of the permit (as the case requires); or

• amend a permit issued by the Minister under Division 6 of Part 4 of the Act (these applications must be made to the Minister under section 971 of the Act).

a Questions marked with an asterisk (*) must be completed. Clear Form

Click for further information.

The Land II Address o f the land. Complete the Street Address and one o f the Formal Land Descriptions.

St reet A d d r e s s *

Formal Land Desc r ip t i on * Complete either A or B.

A This information can be found on the certificate of title.

If this application relates to more than one address, attach a separate sheet setting out any additional property details.

Unit No.:

Suburb/Locality: 1:;), St. Name: -MAI MK1

Postcode: 2..89 A

OR

Lot No.: 1_6- 0 L e d g e d Plan Title Plan 0 Plan of Subdivision

Crown Allotment No.: / 2_( (4- *6

No..i 6o 3/41/<

Section No.: i_co

Parish/Township Name: roKAA BOR44..A -FAH w.....Kty og5-r-

Planning Permit Details ti W h a t pe rm i t is being amended?*

/ Planning Permit No.: 7 p

The Amended Proposal II a You must give full details of the amendment being applied for. Insufficient or unclear information will delay your application.

W h a t is the amendment be ing app l ied for?*

• Indicate the type of changes proposed to the permit.

• List details of the proposed changes.

If the space provided is insufficient, attach a separate sheet.

This application seeks to amend:

What the permit allows P ns endorsed under the permit

Current conditions of the permit Other documents endorsed under the permit

Details:

741-11=-":g NcwDe,- fool) 414) Dkikk pRE../x1 A&DTO 1C--,R bki 73-FND\A--;D 314NI

Eli Provide plans clearly identifying all proposed changes to the endorsed plans, together with: any information required by the planning scheme, requested by Council or outlined in a Council checklist; and if required, include a description of the likely effect of the proposal.

Application to AMEND a Planning Permit Page 1

Development Cost U Estimate cost of development* If the permit allows development, estimate the cost difference between the development allowed by the permit and the development to be allowed by the amended permit.

Cost of proposed amended development:

Cost of the permitted development:

Insert 'NA' if no development is proposed by the permit.

A You may be required to verify this estimate.

Cost difference (+ or —):

Existing Conditions Describe how the land is used and developed now* For example, vacant, three dwellings, medical centre with two practitioners, licensed restaurant with 80 seats, grazing.

Have the conditions of the land changed since the time of the original permit application?

If yes, please provide details of the existing conditions. I I Yes I No

iZ--rk TDR-xxl. b( p Y A - 4 - C D RP'7eW Ept

gos-VR3. 1 3 Provide a plan of the existing conditions if the conditions have changed since the time of the original permit application.

Photos are also helpful.

Title Information 0 Encumbrances on title*

Does the proposal breach, in any way, an encumbrance on title such as a restrictrive covenant, section 173 agreement or other obligation such as an easement or building envelope?

Yes (If 'yes' contact council for advice on how to proceed before continuing with this application.)

Not applicable (no such encumbrance applies).

E l Provide a full, current copy of the title for each individual parcel of land forming the subject site. The title includes: the covering 'register search statement', the title diagram and the associated title documents, known as 'instruments', for example, restrictive covenants.

Application to AMEND a Planning Permit Page 2

Applicant and Owner Details 11 Provide details of the applicant and the owner of the land.

Applicant *

The person who wants the permit.

Please provide at least one contact phone number

Where the preferred contact person for the application is different from the applicant, provide the details of that person.

Owner *

The person or organisation who owns the land

Where the owner is different from the applicant, provide the details of that person or organisation.

Title: AK. Organisation (if applicable):

Postal Address:

Unit No.: St. No.: is

Surname: 1 4 9 7 4 4 - 5 1 * 1 4 - f r i C461

If it is a P.O. Box, enter the details here:

St. N a m e : M t : 7 4

Suburb/Locality: State: Postcode:

Contact Information for applicant OR contact person below

B u s i n e s s phone: 2-

Contact person's details* Name:

Title:

Email.

First Name:

Same as applicant

Surname:

Organisation (if applicable): Postal Address:

U n i t No.: S t . No.:

If i l l s a P.O. Box, enter the details here:

St. Name:

Suburb/Locality: State: Postcode:

•CgrA,1

Name:

Title: First Name: ,i.cr5RIKIA.

Organisation (if applicable):

Same as applicant

Surname: Wil)VONI

Postal Address:

Unit No.: St. No.: I c If it Is a P.O. Box, enter the details here:

St. Name: 1-741\41

Suburb/Locality: Sta e: L

Owner's Signature (Optional):

Postcode:32S

Date: day / month / year

Declaration U This form must be signed by the applicant* A R e m e m b e r it is aga ins t the law

to provide false or misleading I declare that I am the applicant; that all the information in this application is true and correct; that

information, which could result in all changes to the permit and plan have been listed as part of the amended proposal and that the

a heavy fine and cancellation owner (if not myself has been notified of the permit application. of the permit. Signature: [ Date: C : ) ,

A:512,

day / mor4h / year zo EL]

Need help with the Application? U If you need help to complete this form, read More Information at the end of this form or contact Council's planning department. General information about the planning process is available at planning.vic.gov.au Contact Council's planning department to discuss the specific requirements for this application and obtain a checklist. Insufficient or unclear information may delay your application.

Has there been a pre-application meeting with a council planning 1 j No Q 'Yes . ' If 'Yes', with whom'?: officer?

Date: 1 day / month / year

Application to AMEND a Planning Permit Page 3

Checklist U Have you:

Filled in the form completely?

Paid or included the application fee? Most applications require a fee to be paid. Contact Council to determine the appropriate fee.

Attached all necessary supporting information and documents?

Completed the relevant council planning permit checklist?

Signed the declaration above?

Lodgement U Lodge the completed and signed form and all documents with:

Southern Grampians Shire Council Locked Bag 685 Hamilton VIC 3300 111 Brown Street Hamilton VIC 3300

Contact information: Email: council(asthorampians.vic.00v.au

Deliver application in person, by post or by electronic lodgement.

Application to AMEND a Planning Permit Page 4

Section 74 Transfer o f Land Act 1958 Lok,soklzy: Name: -

Branch: 833 Collins Street Melbourne 3000

Customer Code: Tel.:

COPY TO KEEP

Privacy Collection Statement The information from this form is collected under statutory authority and is used for the purpose of maintaining publicly searchable registers and indexes in the Victorian Land Registry.

,Th'7, AVAILABLE / CHANGE CONTROL

Office Use Only

The mortgagor mortgages to the mortgageethe estate and interest specified in the land described subject to the encumbrances affecting the land including any created by dealings lodged for registration prior to the lodging of this mortgage. The provisions contained in Memorandum of Common Provisions retained by the Registrar of Titles in No. AA8I6 and any further provisions endorsed on or annexed to this mortgage are incorporated in this mortgage. The mortgagor acknowledges having received a copy of the Memorandum of Common Provisions prior to executing this mortgage. Land: (Title) Volume 08112 Folio 970 and Volume 08112 Folio 970

Estate and interest being mortgaged: The mortgagor's estate and interest in fee simple

Mortgagor: (Full name) SABINA WILKEN

Mortgagee: Australia and New Zealand Banking Group Limited ABN 11 005 357 522 of Level 4, 833 Collins Street, Melbourne (Ref.: Doc. No. WF000006659166)

Date of this mortgage: /20 Execution and attestation: SIGNED by SABINA W1LKEN in the presence of:

(signature of witness) (name) (address)

EXECUTED by the Mortgagor being signed by those persons who are authorised to sign for the Company:

SIGNED by

in the presence of:

(signature of witness) (name) (address)

Director Name (printed) Address Secretary/Director* (*Delete as applicable) Name (printed) Address

Approval No. 6510810A

`nt S3/283

ORDER TO REGISTER

Please register and issue documents to (insert details o f documents and to whom they are to issue)

Signed Cust. Code:

STAMP DUTY USE ONLY

Firm's name THE BACK OF THIS FORM MUST NOT BE USED

L a n d Registry, 5 7 0 Bourke Street, Melbourne, 3000. P h o n e 8636-2010

Delivered by LANDATAC. Land Victoria timestamp 13/07/2009 08151 Page 1 of 1 Ci Slate of Victoria. ThiS publication is copyright. No part may be reproduced by any process except in accordance with the provisiCtrm Of the CopynT-ii Ac: pursuant to a written agreement. The information M only valid at the time and in the form obtained from the LANDATAID System, The State Of Victona a c c e p a - 7•7, responsibility for any Subsequent release, publication o r reproduction of the information.

TITLE PLAN

,! L o c a t i o n o f Lend

GORAMBORAM r n , m a n : PE)ISHURS7 f i t t u o n tfi

C f 0 W " A r W r r . r e t ¶ 3 4. Gras,

I; ...451Ptan ReAtrence. ! ! a r t r e d F r o m V O L 6 1 1 2 FOL, 4)7()

( ) e p t . 1,11,Idttan

EDITION 1 TP 776036K 1 ^ ' Notations

ANtv REAERENC.E To MAP 0.4 "THE TEXT ' M E A N S E C , A C M A M S H O v v I 4 cr4 ' I T s t a t E PIA% D e s e r i p t i n n o f L e n d ] E a s e m e n t Infortnnfion

ENte)(IS A R E a , Oi6,Fej UNKS

745168 go**

7-

20C, /32

,c) A -9- cs4 3 0-

'2

2 0 0 33.4

c o y 7-

TOTAL AREA = 2A OR 3P

http://www.espreon.com/oni/index.cgi?FX49RTI odG

1 "Iris et.AN Ttas BEE'l PREPARE() FOR 71-I:4.: ?AND REGISTRY :AK° VICTORIA, r o e TI:LE OIAOzTA'.1 P u R P O S t S A S r,ARI o r :rtii LeAti

i tEs A U T O M A T I O N PROJEC!

COMTMED"

ViSRFIED

R O A D

115.1117/

Southern Grampians S H I R E COUNCIL

5.2014.104.1

18 February 2015

Business Centre: Address all correspondence to: I l Brown Street Chief Executive Officer Hamilton 3300 Locked Bag 685 Telephone: (03) 5573 0444 Hamilton 3300 Facsimile: (03) 5572 2910 counciki4sthgrampians.vic.gov.au TTY: (03) 5573 0458 www.sthgrampians.vie.gov.au

Motors Penshurst - Sabina Wilken 11 Hamilton Highway PENSHURST VIC 3289

Dear Sir/Madam

Re: Planning Permit Application No: TP/104/2014 Address: 11-13 Hamilton Highway PENSHURST Proposal: Retail Premises

Council has approved the above planning permit application subject to conditions. Please read the conditions carefully as they form part of the Planning Permit.

Please find enclosed the Planning Permit and Endorsed Plans.

If you have any further queries about this matter, please contact Council's Planning Department on 5573 0204.

Yours sincerely

4-=.5rt cit

CATHY BRADY MANAGER PLANNING AND ENVIRONMENT

Southern Grampians Shire Council

PLANNING PERMIT

ADDRESS OF THE LAND:

Southern Grampians Services: 1 Market Place, Hamilton 3300 Telephone: (03) 5573 0204 Facsimile: (03) 5571 1068

Permit No: Planning Scheme: Responsible Authority:

Page 1 of 3

Address all correspondence to: Chief Executive Officer,

Locked Bag 685, Hamilton 3300 councilsthgrampians.vic.ciov.au

www.sthgrampians.vic.gov.au

Form 4 Section 63 & 86

TP/104/2014 Southern Grampians Southern Grampians Shire Council

11-13 Hamilton Highway PENSHURST; CA: 2 Sec: 46 Par: BORAMBORAM

THE PERMIT ALLOWS: I Retail Premises

THE FOLLOWING CONDITIONS APPLY TO THIS PERMIT: Plans to be endorsed

1. The plans to be endorsed and which will then form part of the permit are the plans submitted with the application.

Loading/unloading 2. The loading and unloading of goods from vehicles must only be carried out on the land and must

not disrupt the circulation and parking of vehicles on the land.

Signs not altered: 3. The location and details of signs including those of the supporting structure, as shown on the

endorsed plans must not be altered without the written consent of the Responsible Authority.

No Sign Illumination: 4. The signs must not be illuminated by external or internal light except with the written consent of

the Responsible Authority.

Amenity: 5. The use and development must be managed so that the amenity of the area is not detrimentally

affected, through the: a) transport of materials, goods or commodities to or from the land; b) appearance of any building, works or materials;

c) emission of noise, artificial light, vibration, smell, fumes, smoke, vapour, steam, soot, ash, dust, waste water, waste products, grit or oil; d) presence of vermin or otherwise;

Date Issued: 18 February 2015 Signature: Permit Number: TP/104/2014

Page 3 of 3 IMPORTANT INFORMATION ABOUT THIS PERMIT WHAT HAS BEEN DECIDED? The Responsible Authority has issued a permit. (Note: This is not a permit granted under Division 5 or 6 of Part 4 of the Planning and Environment Act 1987.)

WHEN DOES A PERMIT BEGIN? A permit operates:

• from the date specified in the permit, or • if no date is specified, from-

(i) the date of the decision of the Victorian Civil and Administrative Tribunal, if the permit was issued at the direction of the Tribunal, or

(ii) the date on which it was issued, in any other case.

WHEN DOES A PERMIT EXPIRE? 1. A permit for the development of land expires if- ▪ the development or any stage of it does not start within the time specified in the permit; or the development requires the certification of a plan of subdivision or consolidation under the Subdivision Act 1988 and the plan is not certified within two years of the issue of the permit, unless the permit contains a different provision; or the development or any stage is not completed within the time specified in the permit, or, if no time is specified, within two years after the issue of the permit or in the case of a subdivision or consolidation within 5 years of the certification of the plan of subdivision or consolidation under the Subdivision Act 1988.

2. A permit for the use of land expires if- • the use does not start within the time specified in the permit, or if no time is specified, within two years after the issue of the permit, or • the use is discontinued for a period of two years.

3. A permit for the development and use of land expires if— • the development or any stage of it does not start within the time specified in the permit; or • the development or any stage of it is not completed within the time specified in the permit, or, if no time is specified, within two years after the issue of the permit; or • the use does not start within the time specified in the permit, or, if no time is specified, within two years after the completion of the development; or • the use is discontinued for a period of two years.

4. If a permit for the use of land or the development and use of land or relating to any of the circumstances mentioned in section 6A(2) of the Planning and Environment Act 1987, or to any combination of use, development or any of those circumstances requires the certification of a plan under the Subdivision Act 1988, unless the permit contains a different provision- • the use or development of any stage is to be taken to have started when the plan is certified; and • the permit expires if the plan is not certified within two years of the issue of the permit.

5. The expiry of a permit does not affect the validity of anything done under that permit before the expiry.

WHAT ABOUT APPEALS? • The person who applied for the permit may apply for a review of any condition in the permit unless it was granted at the direction of the Victorian Civil and Administrative Tribunal, in which case no right of appeal review exists. • An application for review must be lodged within 60 days after the permit was issued, unless a notice of decision to grant a permit has been issued previously, in which case the application for review must be lodged within 60 days after the giving of that notice. • An application for review is lodged with the Victorian Civil and Administrative Tribunal. • An application for review must be made on an Application for Review form which can be obtained from the Victorian Civil and Administrative Tribunal, and be accompanied by the applicable fee. • An application for review must state the grounds upon which it is based. • An application for review must also be served on the Responsible Authority. • Details about applications for review and the fees payable can be obtained from the Victorian Civil and Administrative Tribunal.

IMPORTANT NOTES: • The conditions of this Permit may require the submission of further information and plans before commencement of the project. Any enquiries should be directed to the Planning Office. • The issue of this Planning Permit does not imply any consent under the Building Act 1993 and accordingly, a Building Permit will be required to be issued by a Registered Building Surveyor for any building works unless specifically exempted by Schedule 8 of the Building Regulations 2006. Any enquiries should be directed to the Building Office. • Any waste treatment systems must be installed in accordance with the relevant Codes of Practice and/or EPA requirements and a Permit may be required to be issued by the Council Environmental Health Officer. Any enquiries should be directed to the Health Office. • Any excavations within the street or alteration of Council assets should be discussed with the Council Physical Services Department and a Road Opening Permit may be required. Any enquiries should be directed to the Engineering Office. • The relevant servicing authorities such as Powercor, VicRoads, Telstra, TXU and Wannon Water may need to be consulted in relation to their requirements with respect to the proposals as applicable to the issue of this Permit. • Native Vegetation clearing issues should be discussed with the Department of Sustainability and Environment. • Heritage issues should be discussed with Heritage Victoria. • Aboriginal archaeological issues should be discussed with Aboriginal Affairs Victoria. • Native Title issues should be discussed with the Department of Sustainability and Environment and Aboriginal Affairs Victoria.

Date Issued: 18 February 2015 Signature: c-,Z1-71-11 A.Ct Permit Number: TP/104/2014

—z5) 0-0

a3A1.1.1377.111

gal NVf CO

Houno0 eiNS sue!dwuie woqinos