Change Application Form 132005.535.01

 

Easting(s) Northing(s) | Zone Ref. Datum Local Government Area(s) (if applicable) _|
LI] wess4
LJ GDA94
L] Other:

 

 

      

 

 

   
 

   
 

3.3) Additional premises
L] Additional premises relevant to the original development approval and their details have been attached ina
schedule to this application

E}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

 

 

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

 

[-}Development permit me

| C] Preliminary approval \s 2005 “S385
_] Development permit

LJ 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):

Fit) i ee whag batocenves (i-Arest Aoey, |-Seand Floor
7

Witww 201 Shay roof Wes
6.2) What type of change dogs this application propose?
[UHMinor change application — proceed to Part 5
LJ Other change application — proceed to Part 6

PART 5 — MINOR CHANGE APPLICATION REQUIREMENTS

7) Are there any affected entities for this change application
[LU No — proceed to Part 7

C1 Yes - list all affected entities below and proceed to Part 7
Note: section 80(1) of the Planning Act 2016 states that the person making the change application must give notice of the proposal
and the details of the change to each affected entity as identified in section 80(2) of the Planning Act 2016.

 

 

 

 

 

 

 

 

Affected entity Pre-request response provided? (where a pre- | Date notice given (where no
request response notice for the application has | pre-request response
been given, a copy of the notice must provided)
accompany this change application)
LJ No

LJ Yes — pre-request response is attached to
this change application

L] No

LJ Yes — pre-request response is attached to
this change application

LJ No

CL Yes — pre-request response is attached to
this change application

 

 

 

 

 

 

 

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Planning Act Form 5 - Change application form
Version 1.1 — 22 JUNE 2018