Attachment A - Revised Form 5-Change application form · OPW12/0095.03

 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               132004.5744.11 (MCU)               24 February 2021                    Noosa Council
    Preliminary approval
    Development permit
                                                                        1 September 2021
    Preliminary approval             OPW12/0096.02 (Civil)                                                  Noosa Council



 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):
 The proposed change to the development approval is required to capture an additional 7 visitor parking spaces to be
 provided on site.

 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


[OCR of page images]
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.

 

LJ Coordinates of premises by longitude and latitude

 

 

 

 

 

 

 

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
L] wese4
LJ GDA94
LJ Other:
C1 Coordinates of premises by easting and northing
Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
054 [] wess4
C155 L] GDA94
C1 56 LJ Other:

 

 

 

3.3) Additional premises

 

CJ Additional premises are relevant to the original development approval and the details of these premises have
been attached in a schedule to this application

XI 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 132004.5744.11 (MCU) 24 February 2021 Noosa Council

LJ Preliminary approval

 

oO Development permit 7 1 September 2021
C1 Preliminary approval OPW12/0096.02 (Civil) Noosa Council

 

 

 

 

 

 

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):

The proposed change to the development approval is required to capture an additional 7 visitor parking spaces to be
provided on site.

 

6.2) What type of change does this application propose?

XX Minor change application — proceed to Part 5
LJ Other change application — proceed to Part 6

 

Page 2
Planning Act Form 5 - Change application form
Version 1.2 — 7 February 2020