PlanningActForm5-Change DA 25 Kauri St Cooroy_

                                       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



PART 4 – CHANGE DETAILS
5) Provide details of the existing development approval subject to this change application
Approval type                      Reference number              18Date issued                            Assessment
                                                                                                          manager/approval
                                                                                                          entity
   Development permit                MCU 18/18/0165                                                        Officer PMURPHY
   Preliminary approval
                                                                      21 February 2019
   Development permit               OPW19/0111                                                            Officer MKADHUM
   Preliminary approval                                               26 July 2019

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):
Change of development approval for MCU 18/18/0165 and OPW19/0111

Full request of changes are in supporting Town Planning report.


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                                                  Owner Colin Brown, has
                                            Yes – pre-request response is attached to           discussed the change with
                                        this change application                                 Council engineers informally.

PART 6 – OTHER CHANGE APPLICATION REQUIREMENTS
Note: to complete this part it will be necessary for you to complete parts of DA Form 1 and in some instances parts of DA Form
2, as mentioned below. These forms are available at https://planning.dsdmip.qld.gov.au

8) Location details - Are there any additional premises included in this change application that were not part of the
original development approval?
    No

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