Noosa Council Changes

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| Easting(s) | Northing(s) | Zone Ref. | Datum | Local Government Area(s) (ifappiicable) |
(154 LC) wesea
1) 55 L] GDAS4
56

 

    

Additional premises relevant to the onginal development approval and their details have been attached in a
schedule to this application

Not required

PART 3— RESPONSIBLE ENTITY DETAILS

 

 

we: eco et eles ale (ois) #8) Ler te) b

  

| Approval type ’ fanreres number T Date issued Assessment
manageriapproval
entity |
Development permit sank , . ] }
_] Preliminary approval —a | i \ Neos. ,

[_] Development permit |
L] Preliminary approval | |

 

 

 

 

 

 

6.1) Provide a pref SF aaasreuen of the changes proposed to the development approval (e.g. changing a deveiopment approval
| for @ five unit apartment buikiing to provide for a six unit apartment building): |

| Delete fla re aay ‘ i a L patne /forpning ay

 

| 6.2) What type of change does this application propose?
Minor change application — proceed to Part 5
[_] Other change application — proceed to Part 6 i

PART 5 — MINOR CHANGE APPLICATION REQUIREMENTS

 

affected entities for this change application

PIN Noe pueed to Part 7

LJ Yes — list all affected entities below and proceed to Part 7

Note; section 90/1) 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 60/2) 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 |

L_] Yes — pre-request response is attached to
this change application

[J No
(C] Yes — pre-request response is attached to |
this change application —_
LI No

) Yes — pre-request response is attached to
this change application = __]

 

 

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

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PART 6 — OTHER CHANGE APPLICATION REQUIREMENTS

Note: to complete this part it will be necessary for you fo complete parts of DA Form 1 and in some instances parts of DA Form
2. as mentioned below. These forms are available af https://planning.dsdmip.qid gov.au

y additional premises included in this change application that were not part fe) aI

    

|_| No
L] Yes - complete Part 2 (Location details} of DA Form 1 as it relates to the additional premises is completed and

| provided with this application

aes Ate AS a

No — proceed to 11)

pproval type, or level of asses n this change application?

(_] Yes —the completed Sections 1 and 2 of Part 3 (Development details) of DA Form 1 as these sections relate to

 

|} No
(_] Yes — the completed Part 5 (Building work details) of DA Form 2 as it relates to the change application is provided
_with this application.

application require referral for any referral requirements?

ae et Lok ye NE ne eee eRe ec a me nea

 

No
_] Yes — the completed Part 5 (Referral details) of DA Form 1 as it relates to the change application is provided with
this application. Where referral is required for matters relating to building work the Referral checklist for building work

is also completed ee ae ae. - ee ee |

 
   

|_| t agree
(_] | do not agree to accept an information request for this change application

Note: By not agreeing to accept an information request |, the applicant, acknowledge:

that this change application will be assessed and decided based on the information provided when making this change application
and the assessment manager and any referral agencies relevarit fo the change application are not obligated under the DA Rules to
accept any additional information provided by the applicant for the change application unless agreed to by the relevant parties

Part 3 of the DA Rules will stil! apply if the appiicabon is an application listed under section 11 3 of the DA Rules,

Further advice about information requests is contained in the DA Forns Guide: Forms 4 and 2.

 
   

Part 7 of DA Form 1 is completed as if the change application was a developrnent application and is provided with
this application

PART 7 — CHECKLIST AND APPLICANT DECLARATION

      

 

 

 

 

13) change applice

| nave identified the:

responsible entity in 4); and

for a minor change, any affected entities; and iJ Yes

for an ‘other change all relevant referral requirement(s) in 10)

Note: See the Planning Regulation 2017 for referral requiraments

For an ‘other change application, the relevant sections of DA Form 1— ClYes

Development application details have been completed and is attached to this &] Not applicable
|_ application

For an ‘other’ change application, where building work is associated with the C1 Yes

change application, the relevant sections of DA Form 2 — Building work details £2) Not applicable

have been completed and is attached to this application

Supporting information addressing any applicable assessment benchmarks is C1 Yes

 

 

attached to this application ely

Page 3
Planning Act Form 5 - Change appication form
Version 1.1 — 22 JUNE 2018

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aN 2 at +E MA *

Soa Laie vs PGR

 

Note; This inckudes any templates provided under 23.6 and 23.7 of DA Form 1 that are
relevant as 8 result of the change application, 2 planning report and any tectinical
reports required by the relevant categorising instrument/s) (e.g. the local government
planning scheme, Slate Planning Policy, State Development Assessment Provisions)

 

For further information, see . Piannii
Relevant plans of the development are attached to this development
application Yes

Note: Relevant plans are required fo be submitted for all relevant aspects of this
_change application, For further information, see DA Forms Guide: Relevant plans.

     

 

Pres aratior

>] By making this change application, | declare that all information in this change application is true and correct.
SJ Where an email address is provided in Part 1 of this form, | consent to receive future electronic communications
fromm the responsible entity and any relevant affected entity or referral agency for the change application where written
information is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001.

   

jecla

 

 

Note. it is unlawful to intentionally provide false or misleading information.

Privacy — personal Information collected in this form will be used by the responsible entity and/or chosen assessment
manager, any relevant affected entity or referral agency and/or building certifier (including any professional advisers
which may be engaged by those entities) while processing, assessing and deciding the change application.

All information relating to this change application may be available for inspection and purchase, and/or published on
the assessment manager's and/or referral agency's website.

Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation 2017
and the DA Rules except where:

such disclosure is in accordance with the provisions about public access to documents contained in the Planning Act
2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 20176 and Planning
Regulation 2017; or

required by other legislation {including the Right to Information Act 2009); or

otherwise required by law.

This information may be stored in relevant databases. The information collected will be retained as required by the
Public Records Act 2002.

PART 8 — FOR OFFICE USE ONLY

 

 

 

 

 

Date
received:

Reference numberis):

 

 

 

 

 

Date receipted form sighted by assessment

 

 

of officer who the form

Page 4
Planing Act Form § - Change application form
Version 1.1 — 22 JUNE 2018

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