Application Form

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.

0 Coordinates of premises by longitude and latitude
Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)

0 wess4
OO GDA94

OO Other:

 

 

 

 

 

0 Coordinates of premises by easting and northing

 

 

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
O54 OO wese4
O55 Oo Gpag4
0 56 O Other:

 

 

| 3.3) Additional premises

0 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

Fraser Coast Council

 

 

PART 4 — CHANGE DETAILS

approval

Approval type Reference number Date issued Assessment
manager/approval entity

 

 

OO Development permit
OO Preliminary approval

Dennis Wallace —- Noosa

MCU15/0111 21 July 2016 Council

 

DD Development permit
OO Preliminary approval

Dennis Wallace - Noosa

REC15/0031 21 July 2016 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):

| 6.2) What type of change does this application propose?

 

[M Minor change application — proceed to Part 5
U1 Other change application — proceed to Part 6

 

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