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DA form 5 Golf club
3.2) Coordinates of premises (appropriate for development in remote areas, over part of a fot.or in-water not adjoining or adjacent to fand
COMO: ROA O LC MOR AMOK CER Siz) (0)
Note: Place each.set of coordinates in a separate row.
C1 Coordinates of premises by longitude and latitude
Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
Llwess4
C1] @pae4
CD Other:
C1 Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
[1] 54 C1 wese4
C155 C1 GpAe4
C1 56 C1 Other:
, 3.3) Additional premises
Additional premises are relevant to the original development approval and the details of these premises have
been attached in a schedule to this application
(1 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
Noosa, Caoerl
PART 4 — CHANGE DETAILS
5) Provide details of the existing developrnent approval, subject to this change application 5
Approval type Reference number Date issued : Assessment
manager/approval entity
HS oesecomen Pom |RQGOQ. DZ Nay HOB. | New Cooods\ |.
C1 Development permit
(11 Preliminary approval
6) Type of change proposed
6.1) Provide a brief description of the changes. proposed to the development approval (e.g. changing a development
ETeys eel cme cHiomO A ae ele UL aE eal 1g to provide for a six unit apartment bullding):
x Minor change application — proceed to Part 5
(J Other change application — proceed to Part 6
Page 2
Planning Act Form & - Change application form
Version 1.2 — 7 February 2020
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