Minor Change Application - 14-16 Reserve St, Pomona - MCU22-0097.02

     Change application form
     Planning Act Form 5 (version 1.2 effective 7 February 2020) made under Section 282 of the Planning Act 2016.


     This form is to be used for a change application made under section 78 of the Planning Act 2016. It is important when
     making a change application to be aware of whether the application is for a minor change that will be assessed under
     section 81 of the Planning Act 2016 or for an other change that will be assessed under section 82 of the Planning Act
     2016.
     An applicant must complete all parts of this form, and provide any supporting information that the form identifies as
     being required to accompany the change application, unless stated otherwise. Additional pages may be attached if
     there is insufficient space on the form to complete any part.
     Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
     Assessment Rules (DA Rules).



     PART 1 – APPLICANT DETAILS

        1) Applicant details
                                                                             Pomona Distilling Co. [CONFIRM exact registered entity name
        Applicant name(s) (individual or company full name)
                                                                             & ABN]
        Contact name (only applicable for companies)                         James Moore (General Manager)
        Postal address (P.O. Box or street address)                          14-16 Reserve Street
        Suburb                                                               Pomona
        State                                                                QLD
        Postcode                                                             4568
        Country                                                              Australia
        Email address (non-mandatory)                                        [email protected]
        Mobile number (non-mandatory)                                        0420 503 094
        Applicant’s reference number(s) (if applicable)                      MCU22/0097.01

        2) Owner’s consent - Is written consent of the owner required for this change application?
        Note: Section 79(1A) of the Planning Act 2016 states the requirements in relation to owner’s consent.

             Yes – the written consent of the owner(s) is attached to this change application
             No


     PART 2 – LOCATION DETAILS
        3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
        3.1) Street address and lot on plan
             Street address AND lot on plan (all lots must be listed), or
             Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
             water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
                  Unit No.        Street No.         Street Name and Type                                   Suburb
                                  14-16              Reserve Street                                         Pomona
        a)
                  Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                     Local Government Area(s)
                  4568            2                  SP 115871                                              Noosa Shire Council
                  Unit No.        Street No.         Street Name and Type                                   Suburb
          b)
                  Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                     Local Government Area(s)




Document Set ID: 24937252
Version: 1, Version Date: 09/07/2026