PlanningActForm5

 c)       Unit No.       Street No.       Street Name and Type                                    Suburb
          11             30               Hastings Street                                         Noosa Heads
          Postcode       Lot No.          Plan Type and Number (e.g. RP, SP)                      Local Government Area(s)
                         11               GTP1154                                                 Noosa
 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
                                      51983.3225.12
      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):

 Changing a development approval to combine two units into one new unit

 6.2) What type of change does this application propose?
      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