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Change application form
Planning Act Form 5 (version 1.2 effective 7 February 2020) made under Section 282 of the Planning Act 2016.


This form is to be used for a change application made under section 78 of the Planning Act 2016. It is important when
making a change application to be aware of whether the application is for a minor change that will be assessed under
section 81 of the Planning Act 2016 or for an other change that will be assessed under section 82 of the Planning Act
2016.
An applicant must complete all parts of this form, and provide any supporting information that the form identifies as
being required to accompany the change application, unless stated otherwise. Additional pages may be attached if
there is insufficient space on the form to complete any part.
Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules).



PART 1 – APPLICANT DETAILS

  1) Applicant details
                                                                      The Body Corporate for “The Palms” Precinct Noosa Springs
  Applicant name(s) (individual or company full name)
                                                                      GTP107028
                                                                      Kim Petrovic, Chair 0423 877 558
  Contact name (only applicable for companies)
                                                                      [email protected]
  Postal address (P.O. Box or street address)                         61 Noosa Springs Drive
  Suburb                                                              Noosa Heads
  State                                                               Qld
  Postcode                                                            4567
  Country                                                             Australia
  Email address (non-mandatory)                                       BC Manager: [email protected]
  Mobile number (non-mandatory)                                       0423 877 558
  Applicant’s reference number(s) (if applicable)                     Att: Patrick Murphy/Will Lowe

  2) Owner’s consent - Is written consent of the owner required for this change application?
  Note: Section 79(1A) of the Planning Act 2016 states the requirements in relation to owner’s consent.

  Yes – the written consent of the owner(s) is attached to this change application (Minutes of BC Meeting)
  No


PART 2 – LOCATION DETAILS
  3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable)
  3.1) Street address and lot on plan
  x Street address AND lot on plan (all lots must be listed), or
  x Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
      water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
           Unit No.        Street No.         Street Name and Type                                    Suburb
           N/A             61                 Noosa Springs Drive                                     Noosa Heads
    a)
           Postcode        Lot No.            Plan Type and Number (e.g. RP, SP)                      Local Government Area(s)
           4567            N/A                Part Common Property GTP 107028                         Noosa Council
    b)     Unit No.        Street No.         Street Name and Type                                    Suburb


[OCR of page images]
Change application form

Planning Act Form 5 (version 1.2 effective 7 February 2020) made under Section 282 of the Planning Act 2016.

 

This form is to be used for a change application made under section 78 of the Planning Act 2016. It is important when
making a change application to be aware of whether the application is for a minor change that will be assessed under
section 81 of the Planning Act 2016 or for an other change that will be assessed under section 82 of the Planning Act

2016.

An applicant must complete all parts of this form, and provide any supporting information that the form identifies as
being required to accompany the change application, unless stated otherwise. Additional pages may be attached if
there is insufficient space on the form to complete any part.

Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development

Assessment Rules (DA Rules).

PART 1 — APPLICANT DETAILS

1) Applicant details

Applicant name(s) (individual or company full name)

 

The Body Corporate for “The Palms” Precinct Noosa Springs
GTP107028

 

Contact name (only applicable for companies)

Kim Petrovic, Chair 0423 877 558
[email protected]

 

Postal address (P.O. Box or street address)

61 Noosa Springs Drive

 

Suburb

Noosa Heads

 

 

 

State Qld
Postcode 4567
Country Australia

 

Email address (non-mandatory)

BC Manager: [email protected]

 

Mobile number (non-mandatory)

0423 877 558

 

Applicant's reference number(s) (if applicable)

 

Att: Patrick Murphy/Will Lowe

 

No

 

2) Owner’s consent - Is written consent of the owner required for this change application?
Note: Section 79(1A) of the Planning Act 2016 states the requirements in relation to owner's consent.

 

Yes — the written consent of the owner(s) is attached to this change application (Minutes of BC Meeting)

 

 

PART 2 —LOCATION DETAILS

x Street address AND lot on plan (ail lots must be listed), Or

xL] Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).

Unit No. | Street No.
N/A 61
Postcode | Lot No.
4567 N/A

Unit No. | Street No.

Street Name and Type

Noosa Springs Drive

Plan Type and Number (e.g. RP, SP)
Part Common Property GTP 107028
Street Name and Type

Suburb

Noosa Heads

Local Government Area(s)
Noosa Council

 

Queensland
Government

 

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