PlanningActForm5-Changeapplicationform (1)

          Unit No. Street No.             Street Name and Type                                    Suburb


   b)     Postcod Lot No.                 Plan Type and Number (e.g. RP, SP)                      Local Government Area(s)
          e


 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
 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

 Development permit
                                     132001.Q10239
 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):




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