Amended DA Form 5 (1)

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             4573           332               P93113                                                   Noosa Council
             Unit No.       Street No.        Street Name and Type                                     Suburb
                            23                Avocet Parade                                            Peregian Beach
      c)
             Postcode       Lot No.           Plan Type and Number (e.g. RP, SP)                       Local Government Area(s)
             4573           0-4               BUP7192                                                  Noosa Council
    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                 MCU24/0083 and                                                         Noosa Council
                                                                            20/12/24
    ☐ Preliminary approval               OPW24/0093
    ☐ 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):
    Refer to cover letter.

    6.2) What type of change does this application propose?
    ☒ Minor change application – proceed to Part 5
    ☐ Other change application – proceed to Part 6




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