BA230109 - L148 (3) Delorme Street Noosa Heads Qld 4567 - Form 5 - Change Application Form

     Postcode                     Lot No.                         Plan Type and Number (e.g.           Local Government
                                                                  RP, SP)                              Area(s)


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      Datum                Local Government Area(s)
                                                                     Ref.                           (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 Shire 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            MCU22/0158,                                                    Noosa Council
                                 OPW22/0228 &                 19 April 2023
 ☐Preliminary approval
                                 RAL22/0022
    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):

     1. Internal alteration from Bike Store to Laundry for both Units.
     2. Rear Ground Floor Pergola Roof changed to solid sheet roofing for both Units.

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



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