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09/1058 - Change a Development Approval [As Published] · 132009.1058.02

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( SCRC CORRESPONDENCE

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responsible entity for the request has a form for the request, the request must made using that form.

This template must be lodged with the following.entity (the responsible entity) as applicable:

if the change is to a condition imposed by a Minister under chapter 6, part 11, division 1 of SPA the template must bi
lodged with the Minister that imposed the condition

. if the approval was given by a Minister under chapter 6, part 11, division 2 of SPA the template must be lodged with
the Minister that gave the approval

. if the change is to a condition of the approval imposed by a concurrence agency the template must be lodged with the
concurrence agency

. if the approval was given by the Planning and Environment Court the template must be lodged with the Planning and
Environment Court

. in all other cases the template must be lodged with the assessment manager for the original development application.

Attach extra pages if there is insufficient space on this template. Terms used in this template having the meaning given in
the Sustainable Planning Act 2009.

 

 
 

 

4. Who is making the request?”

     

 

Pow, = Fann

Name/s (individual or company name in full) 4/— The Ler ti fier Petey L tay

 

 

 

 

 

 

 

 

 

 

 

 

For companies, contact name fie above.

Postal address Fe fox 368
CLEVELVMINIO Glet YES

Contact phone number OF ZFEDIST7T7

Mobile number (non-mandatory) i

Fax number (non-mandatory) : OF BEA P AFIS

 

 

2
e-mail address (non-mandatory) JbraAfiety Lye ek \
—7

 

 

 

@ geez. corm aah y Re, A *

 

 

 

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