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 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.     Datum                           Local Government Area(s) (if applicable)
                                                      54            WGS84
                                                      55            GDA94
                                                      56            Other:
 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 Shire Council



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                                                                                       Noosa Shire Council
                                     Unknown                            28/09/73
    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 for a five unit apartment building to provide for a six unit apartment building):
 Replace approved drawing with new drawing set. See attached letter.

 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




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


[OCR of page images]
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)
LJ wese4
LJ GDA94
(J Other:
LJ Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
C54 LJ wese4
(155 LJ GDA94
LC 56 (J 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

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 Shire Council

 

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
Devel t it Noosa Shire Council
leaner sti Unknown 28/09/73 mewoune!

C1 Preliminary approval

 

LJ Development permit
C1 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 for a five unit apartment building to provide for a six unit apartment building):

Replace approved drawing with new drawing set. See attached letter.

 

6.2) What type of change does this application propose?

x| Minor change application — proceed to Part 5
LJ Other change application — proceed to Part 6

 

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

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