Laguna Villas 2 & 3 Change Existing Approval Application

Change application form

Planning Act Form 5 (version 1.1 effective 22 JUNE 2018) made under Section 282 of the Planning Act 2016.
This form is to be used for a change application made under section 78 of the Planning Act 2016. \t is important
when making a change application to be aware of whether the application is for a minor change that will be
assessed under section 81 of the Planning Act 2016 or for an ‘other’ change that will be assessed under section 82
of the Planning Act 2016.

An applicant must complete all parts of this form, and provide any supporting information that the form identifies as
being required to accompany the change application, unless stated otherwise. Additional pages may be attached if

there is insufficient space on the form to complete any part.
Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the
Development Assessment Rules (DA Rules).

PART 1 —APPLICANT DETAILS

licant name(s) (individual or full name) VA olds YOU
Contact name (only applicable for companies) M ‘ C hae\ vat | \t mw

Postal address (P.O. Box or street address) SS Ocesnic 1

Suburb YULA
State Aa

Postcode

Coun’

Email address
Mobile number
licant’s reference number(s

2) Owner's consent - Is written consent of the owner required for this change application?
Note. section 79(1A) of the Planning Act 2016 states the requirements in relation to owner’s.consent.
[Yes — the written consent of the owner(s) is attached to this change application

C1 No

 

 

PART 2 —LOCATION DETAILS

Street address AND lot on plan (all lots must be listed), OF
(J Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
water but or to land e.g. ; all lots must be

Unit No. Street No. Street Name and T Suburb
Z Onn \ e Oo! t
Postcode Lot No. Plan T: d Number (e.g. RP, SP, Local Government Area(s
! a
Unit No. Street No. Street Name and T Suburb

a)

Postcode Lot No. Plan T: and Number (e.g. RP, SP, Local Government Area(s

Coordinates of premises by longitude and latitude
Longitude(s Latitude(s) Datum Local Government Area(s) (if
WGS84
J GDA94
(J Other:

 

Coordinates of premises by easting and northin

Queensland
Government