IDAS Form 5 · MCU13/0064

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the use
of information recorded in this form.

OFFICE USE ONLY
    Date received                                     Reference numbers


The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agencies.




4                                                   IDAS form 5— Material change of use assessable against a planning scheme
                                                                                              Version 2.0 17 December 2012