Planning Act Form 5 -Change application form

 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                                                                          NOOSA COUNCIL
                                 OPW20/0004                   16 JUNE 2020
    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):
 CHANGE TO DRIVEWAY CROSSOVER TYPE

 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