Change application form · 51987.3790.04

 

 

 

oord ate OT pre e ppro, a fe) (9) e [@) e (@]
LJ Coordinates of premises by longitude and latitude
Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable) |
L] wese4
L] GDA94

LJ Other:

 

 

| L] Coordinates of premises by easting and northing

 

 

 

Easting(s) Northing(s) | Zone Ref. | Datum Local Government Area(s) (if applicable)
| L154 L] wess4
(155 L] GDA94

 

 

 

| | L156 L] Other:
3.3) Additional premises

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

J 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

Nessa Conmsti.

 

PART 4 — CHANGE DETAILS

5) Provide details of the existing development approval subject to this change applicati

Approval type Reference number Date issued Assessment
manager/approval entity

 

           

 

LJ Development permit
CJ Preliminary approval
LJ Development permit
LJ 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):

Increase PenGora Reo

  

6.2) What type of change does this application propose?

 

[XM] 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