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