Change application

Change application form
Planning Act Form § (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 2076. 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 2076 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: Ail 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

 

1) Applicant details

 

 

 

 

 

 

 

 

 

Applicant name(s) (individual or company full name) ANORE US Maari nS

Contact name (only applicable for companies)

Postal address (P.O. Box or street address) Po Cox ws

Suburb PEAT ASS G6EAce

State QW

Postcode 4093

Country Aust@auia

Email address (non-mandatory) ard, € anbe’ \d . net =)
Mobile number (non-mandatory) One P tS [kG

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

 

 

Is written con
Planning Act 20

  

LO Yes — the written consent of the owner(s) is attached to this change application

CINo

 

 

 

 

PART 2 —- LOCATION DETAILS

Street address AND lot on plan (ai fots must be fisted), 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 fisted).

Unit No. | Street No.
Zlob
Postcode | Lot No.

87% 3
Unit No. | Street No.

a)

Postcode | Lot No.

Street Name and Type

Kn le w WAy
Plan Type and Number (e.g. RP, SP)

P_43

Street Name and Type

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

Suburb

Per

Local Government Area(s)

COSa Sh We
Suburb

Ten oe

Local Government Area(s)

 

   

? Queensland
Government