Noosa Council Changes

PART 6 — OTHER CHANGE APPLICATION REQUIREMENTS

Note: to complete this part it will be necessary for you fo complete parts of DA Form 1 and in some instances parts of DA Form
2. as mentioned below. These forms are available af https://planning.dsdmip.qid gov.au

y additional premises included in this change application that were not part fe) aI

    

|_| No
L] Yes - complete Part 2 (Location details} of DA Form 1 as it relates to the additional premises is completed and

| provided with this application

aes Ate AS a

No — proceed to 11)

pproval type, or level of asses n this change application?

(_] Yes —the completed Sections 1 and 2 of Part 3 (Development details) of DA Form 1 as these sections relate to

 

|} No
(_] Yes — the completed Part 5 (Building work details) of DA Form 2 as it relates to the change application is provided
_with this application.

application require referral for any referral requirements?

ae et Lok ye NE ne eee eRe ec a me nea

 

No
_] 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 ee ae ae. - ee ee |

 
   

|_| t agree
(_] | 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 relevarit fo 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 stil! apply if the appiicabon is an application listed under section 11 3 of the DA Rules,

Further advice about information requests is contained in the DA Forns Guide: Forms 4 and 2.

 
   

Part 7 of DA Form 1 is completed as if the change application was a developrnent application and is provided with
this application

PART 7 — CHECKLIST AND APPLICANT DECLARATION

      

 

 

 

 

13) change applice

| nave identified the:

responsible entity in 4); and

for a minor change, any affected entities; and iJ Yes

for an ‘other change all relevant referral requirement(s) in 10)

Note: See the Planning Regulation 2017 for referral requiraments

For an ‘other change application, the relevant sections of DA Form 1— ClYes

Development application details have been completed and is attached to this &] Not applicable
|_ application

For an ‘other’ change application, where building work is associated with the C1 Yes

change application, the relevant sections of DA Form 2 — Building work details £2) Not applicable

have been completed and is attached to this application

Supporting information addressing any applicable assessment benchmarks is C1 Yes

 

 

attached to this application ely

Page 3
Planning Act Form 5 - Change appication form
Version 1.1 — 22 JUNE 2018