Appendix 1 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                                                  18 March 2020                       Noosa Council – Glen
                                     51991.652.03                                                           Conforti
    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):
 As indicated on the proposed plans this application seeks approval to modify Condition 19 of the Decision Notice –
 Minor Change which was issued on the 18th of March 2020. Specifically, in accordance with the SCN (Council
 Reference COM22/0389), the stairs at the rear have not been constructed, the front awning, which was previously a
 permanent, fixed structure, has been replaced with a retractable awning, there have been a number of internal
 modifications to the restaurant area on Level 2 and a cool room has also been constructed.
 These minor modifications will propose changing Condition 19 – Approved Plans.

 Refer to:
    Minor Change Letter;
    Appendix 1 DA Form 5, Show Cause Notice and Title Search;
    Appendix 2 Proposed Plans;
    Appendix 3 Existing Approvals; and
    Appendix 4 Supporting Documentation


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