Form 5

                                               given, a copy of the notice must accompany this change
                                               application)
                                                    No
                                                    Yes – pre-request response is attached to
                                                    this change application
                                                   No
                                                   Yes – pre-request response is attached to
                                                   this change application
                                                    No
                                                    Yes – pre-request response is attached to
                                                    this change application

PART 6 – OTHER CHANGE APPLICATION REQUIREMENTS
Note: To complete this part it will be necessary for you to complete parts of DA Form 1 – Development application details and in some instances parts
of DA Form 2 – Building work details, as mentioned below. These forms are available at https://planning.dsdmip.qld.gov.au.


  8) Location details - Are there any additional premises included in this change application that were not part of the
     original development approval?
      No
      Yes

  9) Development details
  9.1) Is there any change to the type of development, approval type, or level of assessment in this change
       application?
      No
      Yes – the completed Sections 1 and 2 of Part 3 (Development details) of DA Form 1 – Development application
      details as these sections relate to the new or changed aspects of development are provided with this application.
  9.2) Does the change application involve building work?
      No
      Yes – the completed Part 5 (Building work details) of DA Form 2 – Building work details as it relates to the
      change application is provided with this application.

  10) Referral details – Does the change application require referral for any referral requirements?
  Note: The application must be referred to each referral agency triggered by the change application as if the change application was the original
        development application including the proposed change.
      No
      Yes – the completed Part 5 (Referral details) of DA Form 1 – Development application details as it relates to the
      change application is provided with this application. Where referral is required for matters relating to building
      work the Referral checklist for building work is also completed.

  11) Information request under Part 3 of the DA Rules
      I agree to receive an information request if determined necessary for this change application
      I do not agree to accept an information request for this change application
  Note: By not agreeing to accept an information request I, the applicant, acknowledge:
  • that this change application will be assessed and decided based on the information provided when making this change application and the
      assessment manager and any referral agencies relevant to the change application are not obligated under the DA Rules to accept any
      additional information provided by the applicant for the change application unless agreed to by the relevant parties
  • Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
  Further advice about information requests is contained in the DA Forms Guide: Forms 1 and 2.


  12) Further details
      Part 7 of DA Form 1 – Development application details is completed as if the change application was a
      development application and is provided with this application.



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