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Change to a DA (Caterers Shop to Retail Type 2 Shop & Salon - Hairdresser) - 51901.4863.07

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                                                                          Department of Infrastructure, Local Government and Planning



 5) Type of change proposed
 5.1) Provide a brief description of the changes proposed to the development appr val (e.g.changinga developmentepprovalfor a
 5 unit apartment building to provide for a 6 unit apartment building): -- P G ..(
   f:;-\-abl,slt\I\I1eJ\t-          eR- bl/dJ~'11'9                      alol\l'\ l,1 ~ +enltJ' +-) fIeMiS;:<2..i
     ~              u.sed      a; cateflll                       r         iora Q 'UZC].
  5.2) What type of change does this application propose.
  [B"Minor change application       - proceed to Pari 4
  o Other change application - proceed to Pari 5
PART 4 - MINOR CHANGE APPLICATION REQUIREMENTS


      No - proceed to Part 6
  DYes - list all affected entities below and proceed to Part 6
  Note: section 80(1) of the Planning Ac/ 2016 states that/he person making the change applica/ion must give notice of the proposal and
  the details olthe change /0 each affected entity as idenlified in sec/ion 80(2) of the Planning Act 2016.
  Affected entity                        Pre-request response provided? (where a pre-           Date notice given (where no pre-
                                         request response notice for the application has        request response provided)
                                         been given, a copy of the notice must
                                         accompany this change application)
                                          DNa
                                          DYes - pre-request response is allached to
                                          this change application
                                          ONo
                                          DYes - pre-request response is allached to
                                          this change application
                                          ONo
                                          DYes - pre-request response is attached to
                                          this change application


PART 5 - 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 a/ www.dilqp.qld.gov.au.




    No
  DYes - complete Part 2 (Location details) of DA Form 1 as it relates to the additional premises is completed and
  provided with this application.




      No
   o Yes -the completed Part 5 (Building work details) of DA Form 2 as it relates to the change application is provided with
   this application.

                                                                                                                                     Page 2
                                                                                               Planning Act Form 5 - Change application form
                                                                                                                   Version 1.0-3 July 2017

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