Change Application Form Little Sister

                                                                                 $epartment oi lnfraslructure, Lccal Governrnent and Planning




 5.1) Provide a brief description of the changes proposed to the development approval {e.9. changing a devetopment approvatfor a
 5 unit apartment building to provide for a 6 unit apartment building)'.

 1), To havethetrading restrictionsstated in Negotiated Decision Notice Re{#-MCU15/0086, be removed.
 2). To have the requirement to apply for nature of use for the property every year stated in Negotiated Decision Notice
 Ref# - MCU15/0086 be removed



 5.2) What type of change does this application propose?
 dfUinot change application - proceed to Part 4
 n Otfrer change application - proceed to Part 5
PART 4 - fulINOR CHANGE APPLICATIChJ REQUIREMEhJTS


      - proceed to Part 6
     No
 flYes - list allaffected entities below and proceed to Part 6
 Note: section $Afi) 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 secfron 80(2) ot the Planning Act 2416.
                                               Pre-request response provided? (where a pre-          Date notice given (where no pre-
                                               req uest response n otice for the application "h as   req u e st response p rovi d e d)
                                               been given, a copy of the notice must
                                               accompany this change applicatian)
                                               E tlo
                                               n yes - pre-request response is attached to
                                               this change application
                                               E trto
                                               n yes - pre-request response is attached to
                                               this change application
                                               ENo
                                               n   yes - pre-request response is attached to
                                               this change application


PART 5 * OTHER EHANGH ABPLiCATICN REQUIREMENTS
Note: to complete this part it will be necessary for you to complete parts of DA Form 1 and in some rnsfances pafts of DA Form 2, as
mentioned below. These forms are available at rywrw.dllqp,glg,gpy.B!.




 M No
 I Yes - complete Parl2 (Location details) of DA Form 1 as it relates to the additional premises is completed and
 provided with this application.




 n 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.




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                                                                                                     Planning Act Form 5 - Change application form
                                                                                                                          Version 1.0-3 July 2017