DA Form 5

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

A

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

P&C Young

 

Contact name (only applicable for companies)

c/-Ken Drew Town Planning P/L

 

 

 

 

 

Postal address (P.0. Box or street address) PO Box 860
Suburb Hamilton
State Qld
Postcode 4007
Country Australia

 

Email address (non-mandatory)

[email protected]

 

Mobile number (non-mandatory)

0438600200

 

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

 

 

  

 

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

Cj No

  
    

 

 

PART 2 — LOCATION DETAILS

Street address AND lot on plan (aif fots must be listed), or

(CO 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).

a)

Unit No.

9

Postcode
4566
Unit No.

Postcode

Street No.
34

Lot No.

9

Street No.

Lot No.

Street Name and Type

Bushlands Drive

Plan Type and Number (e.g. RP, SP)
SP 131675

Street Name and Type

Plan Type and Number (e.g. RP, SP)

 

Suburb

Noosaville

Local Government Area(s)
Noosa

Suburb

Local Government Area(s)

   

7 Queensland
Government