DA Form 5 · 51993.594.01

   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 relevant to the original development approval and their details 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
                                    TPC2534                           21 July 1993
   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):
Minor extension to unit 6


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

 PART 5 – MINOR CHANGE APPLICATION REQUIREMENTS
7) Are there any affected entities for this change application
   No – proceed to Part 7
   Yes – list all affected entities below and proceed to Part 7
Note: section 80(1) of the Planning Act 2016 states that the person making the change application must give notice of the proposal
and the details of the change to each affected entity as identified in section 80(2) of the Planning Act 2016.
Affected entity                         Pre-request response provided? (where a pre-           Date notice given (where no
                                        request response notice for the application has        pre-request response
                                        been given, a copy of the notice must                  provided)
                                        accompany this change application)
                                            No
                                            Yes – pre-request response is attached to
                                        this change application
                                            No
                                            Yes – pre-request response is attached to
                                        this change application
                                            No
                                            Yes – pre-request response is attached to
                                        this change application


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                                                                                       Planning Act Form 5 - Change application form
                                                                                                       Version 1.1 — 22 JUNE 2018