DA Form 5 · 132001.210331.6

LJ Coordinates of premises by longitude and latitude

 

 

Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable)
PY C0 wese4
C1 Gpag4
OJ Other:

 

 

C1 Coordinates of premises by easting and northing

 

 

Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable)
054 LJ weses4
(155 CL] Gpag4

 

 

   

 

 

 

0156 CO Other:

       
     

3.3) Additional premises
C1 Agditional premises are relevant to the original development approval and the details of these premises have
een attached in a schedule to this application
Not required

 

 

 

PART 3 —- RESPONSIBLE ENTITY DETAILS

OMe Tal Vm alt -tyofelal1o) en Wma Bec e-SottgeR aTS change application
Note: see section 78(3) of the Planning Act 2016

Noosa CoINIC\—

 

 

PART 4 — CHANGE DETAILS

    
    

2)
Approval type Reference number

   

Provide details of the existing development approval subject to this change application

    

Date issued Assessment

manager/approval entity
[ff Development permit SUNSHINE

REGrovred
CI Preliminary approval 22, A+ \ DA, infor 103 rey earl «

( Development permit
C Preliminary approval

       

f.

 

 

 

 

 

 

 

 

     
 

6) Type of change proposed

6.1) Provide a brief description of the changes proposed to the development approval (e g. changing a development
Cool elm MUA ME ora caged eam CM geL (eR eee aaa Flohr are elae)

Removal OF TREE_ KNOWN AS “TREE 39"

6.2) What type of change does this application propose?

 

 
   
   
     

  

[VI Minor change application — proceed to Part 5
Cd Other change application — proceed to Part 6

  

 

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