Change to DA - MCU16-0117.01.msg

PART 6 — 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 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

al development approval?

 

LJ Yes — complete Part 2 (Location details) of DA Form 1 as it relates to the additional premises is completed and
provided with this application. : |

 

  
 

9) Development details

9.1) Is there any change to the type of development, approval type, or level of assessment in this change application?
LJ No — proceed to 11)

L] Yes — the completed Sections 1 and 2 of Part 3 (Development details) of DA Form 1 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?

LJ] No
CJ Yes — the completed Part 5 (Building work details) of DA Form 2 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?
Dl oo os Co MeO OR (eR le eek a Re le(B) 9) (orl PAL Rene ele ee) lec en Cee A) original
development application including the proposed change.

LJ] No
C] Yes — the completed Part 5 (Referral details) of DA Form 1 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
(_] | agree to receive an information request if determined necessary for this change application
(J | do not agree to accept an information request for this change application
Note: By not agreeing to accept an information request |, 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.

 

WA ue ILS)
L] Part 7 of DA Form 1 is completed as if the change application was a development application and is provided with
| this application.

PART 7 — CHECKLIST AND APPLICANT DECLARATION

    

13) change application checklist
| | have identified the:
responsible entity in 4); and

for a minor change, any affected entities; and [WYes
for an ‘other’ change all relevant referral requirement(s) in 10)

Note: See the Planning Regulation 2017 for referral requirements :
For an ‘other’ change application, the relevant sections of DA Form 1 — OYes
| Development application details have been completed and is attached to this EANot applicable

 

 

 

application

For an ‘other’ change application, where building work is associated with the CYes

change application, the relevant sections of DA Form 2 — Building work details Rot applicable

have been completed and is attached to this application |
Supporting information addressing any applicable assessment benchmarks is Wes |

attached to this application |

 

Danes 2