DA Form 5

oordinates of-pre @S (appropriate fordevelopme emote areas, over part of a lot’o ater.not adjoining or.adjacent to.land

 

 

C1 Coordinates of premises by longitude and latitude

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
(] wess4
C1 Gbag4

 

CD Other: |

 

C1 Coordinates of premises by easting and northing

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
(154 C1 wess4
(155 Oi cpas4
C156 O Other:

 

 

 

 

3.3) Additional premises
C1 Additional premises are relevant to the original development approval and the details of these premises have
en 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

 

Noosa 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
mw Development permit Noosa Council

(1 Preliminary approval

LJ Development permit
(1 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
E) eco) BOR MME leas came eliere mod ecole (eee RSS Mey ares a etd building):

See attached

  

6.2) What type of change does this application propose?

IM 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