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14623 DA - Change a development approval [As Published] · 131998.981605.2

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2 Does the request involve a:state resource prescribed under the Sustainable Planning Regulation 2009, schedule
‘14? (e.g rhe application | involves state land, or taking quarry, materials. Refer to the notes at the end of this form for r more

information) — ~

 

 

 

 

 

iy] No fr] Yes—the written.agreement. ‘af the chief executive from whom evidence would need to be obtained
under the Sustainable * Planning Act 2009, § section 254(1) must be attached.

 

8. Has a pre-request response notice been given for this request?

 

 

[x] No

C Yes—a copy of the pre-request response notice must be attached to this request

 

9. Is a copy of this request required to be given to ‘another entity u under section 372 of the Sustainable Planning Act
2009? (refer to notes at the end of this form for more information)

 

 

[<] No

C] Yes—complete Table F

 

Table F

 

A copy of this request has been provided to the entities identified below (provide details for each entity given a copy of the
request and the date the copy was given)

 

L] Assessment manager for the
original application

 

LJ Concurrence agencies for the
original application

 

| Any other entity.prescribed by
a regulation

 

 

 

10; Provide details of any other supporting information attached to this request

 

 

oT We, # Reedy Cor Consenl
LRP Plan “ ©

h ‘Dos Rocrn 4
lk Plons

 

 

 

Notes for completing this template

* This template is not an approved form under the Sustainable Planning Act 2009. The entity responsible for deciding the
request may have their own form for the purpose of making a written request to change’ an existing development approval.
Achange to an‘existing development approval may involve: . :
3 a change to an approval given by the assessment manager

 achange toa condition imposed by a concurrence agency

a change to an approval given by the Minister under a Ministerial call in

a change to a condition imposed by the Minister under a Ministerial direction

a change to an approval given by the Planning and Environment Court

ooo 0

 

4 Request to change an existing approval template
Version 1.1 March 2010

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