DA Form 5

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                                                                                       Noosa Council
                                     12495 TC                           02/03/1998
 ☐​ 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)​:
 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