Img_20211001_0004

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.

| LJ Coordinates of premises by longitude and latitude
Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)

| wese4
L] GDA94

CJ Other

(oO Coordinates of premises by easting and northing

 

 

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
54 C1 wess4
L155 CL Gpag4
L] 56 CJ Other:

3.3) Additional premises

| (J Additional premises are relevant to the original development approval and the details of these premises have
been attached in a schedule to this application
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

NeeSA Covrde

 

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

 

  

 

ae a= 2 Pom ek Dew Rn Sen 2 reso | bee re ees eg rg
| Development permit C UY b L2G > lEW oo

| (J Preliminary approval he /' Jo a/ . /17 | LaopFoRI7

| (J Development permit | PGF we = pal y f | WILITELELT —
Preliminary approval MEU /é /0/3 fh o/ = f ap ae | KOSCHADE

 

 

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 for a five unit apartment building to provide for a six unit apartment building):
Retr A Stéero YO Acton cota Mischa gk

TER WAgL ec ey ie -

Minor change application — proceed to Part 5
_| Other change application — proceed to Part 6

 

Page 2
Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020