Type of Application
•	Amendment (S.144)
•	Additional information
       as requested	
	
Amendment to a current application 
not yet approved	
Insert Proposal Number to which this application relates: 

20………………..	
				
•	Amendment (S.197)
•	Additional  Information
        as requested	
	
Amendment to a development approval 

Insert Development Approval Number to which this application relates: 

20………………..	
					
The following questions must be answered for amendments lodged under S.144 or S.197 of the P & D Act 2007	

Will the development applied for after the amendment be substantially the same as the development applied for originally?	•	YES	•	NO	
If NO  - the Authority must refuse to amend the development application/approval

Will the assessment track for the application change if the application is amended?	•	YES	•	NO	
If YES - the Authority must refuse to amend the development application/approval

Please provide the date of the original approval:		

Has work relating to the original approval commenced? (Required for S197 amendments only)	•	YES	•	NO	
If NO - please check the status of your development approval with the Authority

•	Satisfying Conditions 
        of Approval (S.165)	
	
Information and documentation to satisfy conditions of development approval	Insert Proposal Number to which this application relates: 

20………………..	

Lease/Site Details Please Print

If more than one lease/site, attach the following details for each lease/site

Block	

Section	
	Unit (if applicable)		
		
Suburb	

District	

Street Number	

Street Name	

Postcode	
		
Applicant Details Please Print

Surname	
		First Name		
		
Company Name	

Position held in company			Australian Company/Business Number (ACN/ABN)		
		
Postal Address	

Suburb	
		State			Postcode		
				
Phone Number Business Hours			Mobile		
		
EMAIL ADDRESS	

Lessee (Property Owners) Details Please Print

Lessee’s Details (or Government Land Custodian)

Surname	
		First Name		
		
Company Name	

Position held in company			Australian Company Number (ACN)		
		
Postal Address	

Suburb	
		State			Postcode		
				
Phone Number Business Hours			Mobile		
		
EMAIL ADDRESS	

List Amendments or Conditions of Approval Being Satisfied Please Print

EXAMPLES: 	1. Laundry window being enlarged, roof material changed from tile to colour bond
2. Condition 1 – plan showing revised side setback, Condition 2 – landscape plan provided

	
	
List of Amendments or Conditions of Approval Being Satisfied continued

	

	

Entity and/or Referral Requirements (COMPLETE FOR AMENDMENT APPLICATIONS ONLY)

Do the amendments to your proposal impact on entity requirements?
	•	NO	•	YES	
IF YES

CODE TRACK AMENDMENT APPLICATIONS	•	Seek entity endorsement of your amendments prior to lodgement of your amendment application and submit this with your amendment application
	
MERIT & IMPACT TRACK AMENDMENT APPLICATIONS	•	Seek entity endorsement of your amendments prior to lodgement of your amendment application and submit this with your amendment application OR 
•	Provide documentation with your amendment application that demonstrates your proposal addresses entity requirements so it can be referred to the relevant entity by the Planning and Land Authority	
	•	Entity Endorsement provided
•	Documentation provided for referral to Entity

Other Requirements

DOCUMENTATION AND PLANS

All required documentation must be provided in an electronic format on compact disc/DVD and meet the following requirements (Form to be submitted in hardcopy if lodged over the counter)

•	Each document must be saved as a PDF and named in accordance with the naming convention as detailed on the EPD website. 
•	All plans must be to scale.
•	All plans must be rotated to the correct orientation i.e. they are the right way up when opened
•	All plans are to be clear and concise and generally consistent with Australian Standard 1100.301 - 1985 and Australian Standard 1100.301 supplementary - as updated from time to time.

Amendment to Development Application Not Yet Approved (S.144)
When submitting documentation or plans in relation to an amendment to a development application that has not been determined, a written statement specifying what elements of the original proposal have been changed must be provided.  Amendment/s to be listed on plans and area on plan clouded where change to occur. The amended application may need to be notified (S.146).

Satisfying Conditions of Approval (S.165) 
When submitting documentation or plans to satisfy conditions of approval a written statement detailing which conditions the documentation or plans are seeking to satisfy must be provided.

Amendment to Development Approval (S.197)
When submitting documentation or plans in relation to an amendment to a development approval, a written statement specifying what elements of the original approval have been changed must be provided.  Amendment/s to be listed on plans and area on plan clouded where change to occur. The amended application will be notified (S.198) unless exempt by regulation. 

Plans for Public Register
When submitting documentation or plans with an amendment application or to satisfy conditions of approval for residential development, a full working set of drawings and a public register set of drawings must be submitted.  The Public Register floor plan must not show the interior layout of the development.  All windows and doors to be clearly marked to enable identification of the use of the room/space to which they relate or an indication on the floor plan as to what the space will be used for e.g. bedrooms, living area, car accommodation, must be provided.

Applicant Declaration

I/we declare that this application is accompanied by all of the required information or documents that address the relevant rules and/or relevant criteria for it to be considered for approval and understand that this application will be considered lodged once any relevant application fees have been paid;

I/we understand that the documentation provided via the electronic lodgement process will be considered to be the relevant documentation associated with this application.  All development application documentation will be made available for public inspection including via the Internet unless exclusion has been approved;

I/we understand that an amendment may be notified in accordance with the requirements of the Planning and Development Act 2007.

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

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.

Applicant Signature (s)	
	Date		
				
1st Lessee’s Signature	
	Date		
				
2nd Lessee’s Signature	
	Date		
				
Govt Land Custodian Signature 
(unleased land only)	

	Date		
				
Delegate of Planning and Land Authority
(unleased land only)	

	Date		
				
Privacy Notice
The personal information on this form is provided to the Environment and Planning Directorate (EPD) to enable the processing of your application. The collection of personal information is authorised by the Planning and Development Act 2007.  If all or some of the personal information is not collected EPD cannot process your application. The Planning and Development Act 2007 requires the details of applications, decisions and orders to be kept on a register and made available for public inspection. Information and documentation relevant to a development application may be made available via the Internet. The personal information you provide may be disclosed to Australian Bureau of Statistics, ACT Revenue Office, the Registrar General’s Office, ACTEW Corporation, ActewAGL, Territory and Municipal Services Directorate and other Government agencies with a direct interest in the development assessment process.  The information may also be disclosed where authorised by law or court order, or where the Directorate reasonably believes that the use or disclosure of the information is reasonably necessary for enforcement-related activities conducted by, or on behalf of, an enforcement body. EPD’s Information Privacy Policy contains information about how you may access or seek to correct your personal information held by EPD, and how you may complain about an alleged breach of the Territory Privacy Principles. The EPD Information Privacy Policy can be found at www.environment@act.gov.au 

Does the Commonwealth Environment Protection and Biodiversity Conservation Act 1999 (EPBC) affect your proposal?
The EPBC came into operation on 16 July 2000. It establishes an environmental assessment and approval system that is separate and distinct from the ACT system. It does not affect the validity of ACT development assessment and approval processes, but may affect the assessment track. The ACT cannot provide preliminary advice on whether a proposal falls within the definition of a controlled action, or requires referral to the Commonwealth. You should consult with the Commonwealth to determine if your proposal is a controlled action before seeking any approvals under the Planning and Development Act 2007. For information about the EPBC, including the referral process and when a referral should be made, contact the Commonwealth Department of the Environment www.environment.gov.au 

Contact Details:
Environment and Planning Directorate
Customer Service Centres
GPO Box 158, Canberra City 2601
8 Darling Street Mitchell, ACT 2911
16 Challis Street Dickson ACT 2602
Business Hours: 8.30am to 4.30pm weekdays (excluding Public Holidays)
Phone: (02) 6207 1923	TTY: (02) 6207 2622
Email: epdcustomerservices@act.gov.au	Website: www.environment@act.gov.au