Change Application DA Form 5

C1 Coordinates of premises by longitude and latitude

 

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)

CO wess4
C1 Gpag4

C1 Other:

 

 

 

C1 Coordinates of premises by easting and northing

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
O54 C1 wess4
0155 C1 Gpag4
(156 C1 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

L] 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

 

 

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

 

(1 Development permit

(Preliminary approval OP W23 leo23
(1 Development permit y

(1 Preliminary approval

 

 

 

 

 

 

 

6) Type of change proposed

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

Lor aPpreve| +o Leep a \egh weight alininivnn hence installed jose eh nef
Wo rceveliwie lt wall
6.2) What type of change does this application propose?

fMinor change application — proceed to Part 5
CJ Other change application — proceed to Part 6

 

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