OFFICE USE ONLY

Application number

Date lodged

/	/

Receipt number

Receiving officer

Planning and Development Act 2007, s425

Application for a controlled activity order

The questions asked on this form are required under division 11.3.1 of the Planning and Development Act 2007. This information is required to process your application. 
The information may be given to other Government agencies to receive their comments before considering your application. This information may also be made available to Government agencies for statistical and administrative purposes and non-government persons and organisations. 

The Planning and Development Act 2007 requires that the following information be kept on a public register:
•	the place to which an order relates; and
•	should the order be made, the directions in the order and whom the order is directed; 

The name of the applicant for a controlled activity order will not be placed on the public register. However a copy of your application and any attachments will be sent to the lessee/occupier of the land on which the activity is occurring and to other appropriate Government agencies.  The lessee/occupier of the land on which the activity is occurring may make submissions to the ACT Planning and Land Authority.

Part 3.  Controlled activity

Part 1.  Applicant details
Name/s

Schedule 2 of the Planning and Development Act 2007 provides that the following controlled activities are activities subject to order. Please tick the space adjacent to the controlled activity for the activity about which you wish a controlled activity order to be made.

Failure to comply with 
(a) a lease; or
(b) if a lease is granted subject to the lessee entering into a development agreement and the lessee has entered into such an agreement – the development agreement.

Company Name (If Applicable)

Postal address

Email address

Failing to keep a leasehold clean.

Undertaking a development for which development approval is required
(a) without development approval; or 
(b) other than in accordance with the development approval.

Part 2.  Site details

Block	Section	Unit

Suburb

Street number and name

Contact Phone Number/s

Having a building or structure that was constructed without approval required by the Planning and Development Act 2007, Chapter 7 (Development Approvals).

Using unleased Territory land in a way that is not authorised by a licence under the Planning and Development Act 2007 or permit under the Roads and Public Places Act 1937.

Name and address of each person to whom the order sought is to be directed

Managing land held under a rural lease other than
in accordance with the land management agreement that applies to it.

Failing to enter into a land management agreement as required under Section 286 of the Planning and Development Act 2007.

Part 4.  Controlled activity order direction
The directions below are those which the ACT Planning and Land Authority can make. 
Please tick the space adjacent to the order you are seeking in relation to the activity selected in part 4.

To restore any land, building or structure that has been altered without development approval or permission required under a territory law.

To comply with the terms of a development approval to undertake development.

To carry out a development in accordance with a condition under the development approval that approved the development.

To demolish a building or structure, or a part of a building or structure, that has been constructed without development approval or permission required under a territory law.

Not to begin a development without development approval.

Not to carry out a development without development approval.

Not to undertake a controlled activity other than a development.

To apply for development approval for a building or structure, or part of a building or structure, that has been constructed without development approval.

To replace with an identical building or structure any Building or structure that has been demolished without development approval or permission required under a territory law.

To clean up a leasehold and keep it clean.

If the person to whom the order is directed is bound by   a land management agreement – to comply with the land management agreement.

To demolish a building or structure, or a part of a building or structure, that encroaches onto, over or under unleased territory land without approval granted under a Territory law.

Part 5.  Description of controlled activity
Please fully describe the activity that is occurring and why you believe the Authority should make the controlled activity order sought.

Part 7.  Signature of applicant/s

Part 6.  Applicant declaration

Date	/	/

I/we declare that all the information given on this form and its attachments is true and complete.

In addition, if signing on behalf of a company, organisation or Government agency.

I/we the undersigned, declare I/we have the appropriate delegation or authority to sign on behalf of the company, organisation or
Government agency.

	
An application fee is payable at the time of lodgement