DA Form 5

3.2) Coordinates Of premises (appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land
     e.g, channel dredging in Moreton Bay)
Note: Place each set of coordinates in a separate row.
    Coordinates of premises by longitude and latitude
 Longitude(s)                  Latitude(s)                     Datum                           Local Government Area(s) (if applicable)
                                                                   WGS84
                                                                   GDA94
                                                                   Other:
    Coordinates of premises by easting and northing
 Easting(s)            Northing(s)              Zone Ref.                                      Local Government Area(s) (if applicable)
                                                    54
                                                    55
                                                    56
 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
 X 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 COUNCIL PLANNING



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
 X Development permit                                                                                      DEVELOPMENT
                                    RAL23/0002                         27/10/2023                          PLANNER
    Preliminary approval
    Development permit
    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
      approval foi a five unit apartment building to provide fora Six unit apartment building)'.
 Move boundary of proposed new lot to allow existing shed building to be totally inside the lot.

 6.2) What type of change does this application propose?
 X Minor change application - proceed to Part 5
    Other change application - proceed to Part 6




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