22.09.08 Change Application Form

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 e. Set of coordinates in a separate row.

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

C1 wese4
C1 GpAg4

LJ Other:

 

 

 

 

LJ Coordinates of premises by easting and northing

 

 

 

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
154 LC wess4
1155 CL] GbDA94
[7156 LJ Other:

 

        
 

   

3.3) Additional premises

LJ 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

 

Planning Department — Civil & Landscape design

PART 4 — CHANGE DETAILS

    

  

5) Provide details of the existing development approval subject to this change application

Reference number Date issued Assessment

Approval type
manager/approval entity

 

{XJ Development permit Diogo Carrico

LJ Preliminary approval
LJ Development permit
L Preliminary approval

OPW19/0266 13 October 2020

 

 

 

 

 

 

 

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):

Change in detention tank & landscape design

 

6.2) What type of change does this application propose?

Minor change application — proceed to Part 5
(J Other change application — proceed to Part 6

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