Form 5 - Change Application Form (3)

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


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      Datum                Local Government Area(s)
                                                                     Ref.                           (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 Shire 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
                                 51992.5309.02                22.08.2024
 ☐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):

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




                                                                                                                             Page 2
                                                                                       Planning Act Form 5 - Change application form
                                                                                                      Version 1.2 — 7 February 2020


[OCR of page images]
 

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

 

 

 

 

 

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.
LJ Coordinates of premises by longitude and latitude

 

 

Longitude(s) Latitude(s) Datum Local Government Area(s)
(if applicable)
LJ waese4
L GDA94
LJ Other: [|

 

 

LJ Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Datum Local Government Area(s)
Ref. (if applicable)

C54 | wases4
055 LJ GDA94
(156 | O Other:

 

 

 

 

 

 

3.3) Additional premises

 

UO Additional premises are relevant to the original development approval and the details of these premises have been
attached in a schedule to this application

XX] 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 Shire 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

 

ODevelopment permit

. 51992.5309.02 22.08.2024
OPreliminary approval

 

LJ 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):

6.2) What type of change does this application propose?

 

X Minor change application — proceed to Part 5
Other change application — proceed to Part 6

 

Page 2
Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020