Change application

PART 5 — MINOR CHANGE APPLICATION REQUIREMENTS

 
 

Are there any affected entities for this change Ersoocitell

No — proceed to Part 7
OO Yes -— list ail affected entities below and proceed to Part 7

Note: section 80(1) of the Planning Act 2016 states that the person making the change application must give notice of the proposal and the
details of the change to each affected entity as identified in section 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 been request response provided)
given, a copy of the notice must accompany this change
application)
OONo

LC Yes — pre-request response is attached to
this change application

LI No

C1 Yes — pre-request response is attached to
this change application

CINo

D 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 fo 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 hitps://planning.dsdmip.qid.gov.au

Are there any additional premises included in this change application that were not part of the
olen tcial ees] |W

 

or level of assessment in this

LA No
LC 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

 

res — 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.

pplication require referral for any referral requirements?

teeter iniasel laclem ay TOMAR ale Lome eli letesiietat

 

CJ Yes — the completed Part 5 (Referral details) of DA Form 7 — 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

 

 

under

  

fthe DA Rules

[4 agree to receive an information request if determined necessary for this change application
(1 | 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

11) Information

   

 

 

 

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