Change application form (Lift) 13003.221152.6

  5) Type of change proposed
  5.1) Provide a brief description of the changes proposed to the development approval (e.g. changing a development approval for a
  5 unit apartment building to provide for a 6 unit apartment building):


  Change the existing development permit for a dwelling house to allow a lift to be added to this existing dwelling house and
  associated landscaping.

  5.2) What type of change does this application propose?
      Minor change application – proceed to Part 4
      Other change application – proceed to Part 5

PART 4 – MINOR CHANGE APPLICATION REQUIREMENTS
  6) Are there any affected entities for this change application
      No – proceed to Part 6
      Yes – list all affected entities below and proceed to Part 6
  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        request response provided)
                                         been given, a copy of the notice must
                                         accompany this change application)
                                             No
                                             Yes – pre-request response is attached to
                                         this change application
                                             No
                                             Yes – pre-request response is attached to
                                         this change application
                                             No
                                             Yes – pre-request response is attached to
                                         this change application

PART 5 – 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 www.dilgp.qld.gov.au.


  7) Location details - Are there any additional premises included in this change application that were not part of the original
  development approval?
     No
     Yes – complete Part 2 (Location details) of DA Form 1 as it relates to the additional premises is completed and
  provided with this application.

  8) Development details
  8.1) Are there any new or changed development aspects included in this change application that are not part of the
  original development approval?
    No – proceed to 9)
    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.
  8.2) Does the change application involve building work?
      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.
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                                                                                              Planning Act Form 5 - Change application form
                                                                                                                   Version 1.0—3 July 2017