Laguna Villas 39 & 50 - Application For Change To Approval

Page 2

 

Easting(s) Northing(s) Zone Ref. Datum Local Government Area(s) (if applicable)
[164 [C] wese4
(1) 55 CJ Gpao4

 

 

 

 

 

   

Additional premises relevant to the original development approval and their details have been attached in a

fatNot re to this application
lot required

 

 

 

PART 3 —- RESPONSIBLE ENTITY DETAILS

Noosa Cecil

 

PART 4 — CHANGE DETAILS

 
 

 

 

ap

Approval type Reference number Date issued mm Assessment

 

manager/approval
L, entity

 

LY Development permit 5 | 489 ; (ce

Preliminary approval
Development permit

 

last Cnanag Approval} Lae Rienaap—

 

 

 

 

ae ‘
(1 Preliminary approval i [4 [aot 2 Noosa. Comci!

 

    

6.1) Provide a brief description of the changes proposed to the develo}
for 2 five unit apartment building to provide for a six unit apartment building):

Demolish and re-build Fx aivgle stove, retivement village

villas
6.2) What type of change does this application propose?
Minor change application — proceed to Part 5
(_] Other change application — proceed to Part 6

PART 5 — MINOR CHANGE APPLICATION REQUIREMENTS

 

pment approval (e.g. changing a development approval

 

 

 

 

 

 

(Yes — list all affected entities below and proceed to Part 7
Note: section 80(1) of the Planning Act 2016 states that the person making the change application must give notice of the proposal
and the details of the change to each affected entity as identified in section 80(2) of the Planning Act 2016.

 

 

Affected entity Pre-request response provided? (where a pre- | Date notice given (where no
request response notice for the application has | pre-request response
been given, a copy of the notice must provided)
accompany this change application)
CT No

(J Yes — pre-request response is attached to
this change application

LJ No

(J Yes ~ pre-request response is attached to
this change application

CI No

(J Yes — pre-request response is attached to
this change application

 

 

 

 

 

 

 

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Planning Act Form 5 - Change application form
Version 1.1—~ 22 JUNE 2018

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PART 6 — OTHER CHANGE APPLICATION REQUIREMENTS

Note: fo complete this part it will be necessary for you to complete parts of DA Form 1 and in some instances parts of DA Form
2, as mentioned below. These forms are available at https://planning.dsdmip.qid.gov.au

    

[WNo
(J Yes — complete Part 2 (Location details) of DA Form 1 as it relates to the additional premises is completed and
provided with this application.

 

  
  

  
   

[MW No — proceed to 11)
(J Yes - the completed Sections 1 and 2 of Part 3 (Development details) of DA Form 1 as these sections relate to
the new or changed aspects of development are provided with this application.

 
 
 

 
   
 
 

(J Yes — the completed Part 5 (Building work details) of DA Form 2 as it relates to the change application is provided
with this application.

 

eferral for any referral reauiren

 

(J Yes — the completed Part 5 (Referral details) of DA Form 1 as it relates to the change application is provided with

this application. Where referral is required for matters relating to building work the Referral checklist for building work
is also completed.

 

       

Information request under Part 3 of the DA Rules

[Vl | agree to receive an information request if determined necessary for this change application
(] | do not agree to accept an information request for this change application

Note: By not agreeing to accept an information request I, the applicant, acknowledge:

that this change application will be assessed and decided based on the information provided when making this change application
and the assessment manager and any referral agencies relevant to the change application are not obligated under the DA Rules to
accept any additional information provided by the applicant for the change application unless agreed to by the relevant parties
Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.

Further advice about information requests is contained in the DA Forms Guide: Forms 1 and 2.

Part 7 of DA Form 1 is completed as if the change application was a development application and is provided with

this application.

PART 7 — CHECKLIST AND APPLICANT DECLARATION

     
  

 

 

3) chana: tion ct
| have identified the:

responsible entity in 4); and Ww
for a minor change, any affected entities; and Yes
for an ‘other’ change all relevant referral requirement(s) in 10)

Note: See the Planning Regulation 2017 for referral requirements

For an ‘other’ change application, the relevant sections of DA Form 1—

      

 

 

 

 

 

Development application details have been completed and is attached to this ates jisable

application PP

For an ‘other’ change application, where building work is associated with the Clyes

change application, the relevant sections of DA Form 2 — Building work details hot applicable

have been completed and is attached to this application |
Supporting information addressing any applicable assessment benchmarks is (Wes

attached to this application

 

Page 3
Planning Act Form 5 - Change application form
Version 1.1 — 22 JUNE 2018

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Note: This includes any templates provided under 23.6 and 23.7 of DA Form 1 that are
relevant as a result of the change application, a planning report and any technical
reports required by the relevant categorising instrument{s) (e.g. the local goverment
planning scheme, State Planning Policy, State Development Assessment Provisions).

 

For further information, see ide: Plannin; template.
Relevant plans of the development are attached to this development
application rw ie

Note: Relevant pians are required to be submitted for ail relevant aspects of this

change application. For further information, see DA Forms Guide: Relevant plans.

“ By making this change application, | declare that all information in this change application is true and correct.

(J Where an email address is provided in Part 4 of this form, | consent to receive future electronic communications
from the responsible entity and any relevant affected entity or referral agency for the change application where written
information is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001.

Note: it is unlawful to intentionally provide false or misleading information.

Privacy — personal information collected in this form will be used by the responsible entity and/or chosen assessment
manager, any relevant affected entity or referral agency and/or building certifier (including any professional advisers
which may be engaged by those entities) while processing, assessing and deciding the change application.

All information relating to this change application may be available for inspection and purchase, and/or published on
the assessment manager's and/or referral agency's website.

Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation
2017 and the DA Rules except where:

such disclosure is in accordance with the provisions about public access to documents contained in the Planning Act
2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and Planning
Regulation 2017; or

required by other legislation (including the Right to information Act 2009); or

otherwise required by law.

This information may be stored in relevant databases. The information collected will be retained as required by the
Public Records Act 2002.

PART 8 —- FOR OFFICE USE ONLY

 

 

 

 

 

 

Date Reference number(s):
received:

 

 

 

 

 

 

QLeave number

Amount

Date

Date receipted form sighted by assessment

Name of officer who the form

 

Page 4
Planning Act Form 5 - Change application form
Version 1.1 — 22 JUNE 2018