Planning Act Form 5

          4563           229               SP246604                                               Noosa Shire Council
          Unit No.       Street No.        Street Name and Type                                   Suburb
                                           Garnet Street                                          Cooroy
 c)
          Postcode       Lot No.           Plan Type and Number (e.g. RP, SP)                     Local Government Area(s)
          4563           204               MCH976                                                 Noosa Shire Council
          Unit No.       Street No.        Street Name and Type                                   Suburb
                         66                Garnet Street                                          Cooroy
 d)
          Postcode       Lot No.           Plan Type and Number (e.g. RP, SP)                     Local Government Area(s)
          4563           1                 SP246688                                               Noosa Shire Council
 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 Ref.     Datum                          Local Government Area(s) (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                                                                                    Noosa Shire Council
                                     MCU23/0058                         29 January 2024
      Preliminary approval
      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):

 Change to conditions relating to staging requirements and change to external façade materials

                                                                                                                                        Page 2
                                                                                                  Planning Act Form 5 - Change application form
                                                                                                                 Version 1.2 — 7 February 2020