Form 5 Change Application

3.2) Coordinates of premises (appropriate for development ih remote areas, over part of a Jot or in water not adjoining or adjacent to land

GL IMClE-Tesel em iAm) 4 ek-2 2)

 

 

 

Ferrey mee le2k6! gre) cry arelgc lick elie
L] Coordinates of premises by longitude and latitude
| Longitude(s) = Latitude(s) Datum Local Government Area(s) (if applicable)
/ C. wessa

| | (1 GDA94
| | CL] Other:
(J Coordinates of premises by easting and northing Peas!

[ Easting(s) _ =o Northing(s) | Zone Ref. | Datum | Local Government Area(s) (if applicable)
(O54 | Lweses
'Clss | CGpaAg4

| (56 | CJ Other:

 

 

 

 

 
 
      
 

 

  
  

   

3.3) Additional premises

| L] Additional premises are relevant to the original development approval and the details of these premises have
been attached in a schedule to this application

| DY Not required

 

PART 3 —- RESPONSIBLE ENTITY DETAILS

4) Identify the responsible entity that will be assessing this change application

Note: see section 78(3) of the Planning Act 2016

PLANNING DEPARTMENT

 

 

PART 4 — CHANGE DETAILS

 

5) Provide details of the existing development approval subject to this change application

Approval type Reference number Date issued Assessment
manager/approval entity

 

KX] Development permit =| MCU 20/ Cos] 20 [e i/ 2021
LJ Preliminary approval

LJ Development permit
C] Preliminary approval

 

 

 

 

 

 

 

6) Type of change proposed Gee ee ae

6.1) Provide a brief description of the changes proposed to the development approval (e.g. changing a development
approval for a five unit apartment building to provide for a six unit apartment building):

Remove Lowe? LEVEL AND BUILD oN SLAB

 

6.2) What type of change does this application propose?

IX] Minor change application — proceed to Part 5
(J Other change application — proceed to Part 6

 

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Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020