Change to Approval Part 1 51992.657.01

 

16 Pre-requeést response notice “

Has a pre-request response notice been given by a relevant
entity (e.g. a concurrence agency) for this request?

WY | No

Yes

\ {f yes, please attach a copy of the notice.

 

 

 

 

 

8. Does the request involve a State resource
prescribed under the Sustainable Planning
Regulation 2009, Schedule 14?

 

No

 

 

Yes — complete Table C below

 

 

Table C- State owned. resource

 

 

  

Is the owner's consent required for this request?
No
. Yes— complete either Table A or Table B below

Note — If more than one owner of the land all owners’ details are
required.

 

 

 

 

Nature of State owned resource

 

Nature of evidence required .
Evidence of allocation of /entitlement to, the resource

 

 

 

Table A= ownet’s consent provided on form

 

 

Evidence the chief executive has agreed he request

 

 

\ Attach a copy of the evidence required above.

 

Owner's name/s LEE AOPICHE TS

 

ALETT PAS

 

i/We, the above-mentioned owner/s of the land, consent to
the making of this request.

 

Signature/s

 

 

Date

 

 

 

 
   

 

 

Owner’s name/s

Z ee Y Tah

 

 

| The owner's written consent is attached.

 

 

NOTES:'For question 7 dee

Under section 371 of the Sustainable.Planning Act 2009, if the

person making. the request is. not the-owner of the land to which the

approval relates, the request must be accompanied bythe owner's ‘Ss

consent,

However, a

° “relates t
263(2)(d):of the: Sustainable Plan ning, ‘Act.2009:gpplied. when .
the application for: the ‘approval was madé;'or

° is for: ‘bullding: work or eae al: work for the’ supply Bh

 

 

“affect t he! wners! ‘land: On...
° » hawing regard to the nature of. the proposed. change, the owner,

   
 

 

does not materialafh sowner'sland: «| eo

 

 

PD-DA-FM401/1-30/04/2010

 

NOTES: For question 8

Section 370(3) and (4) of the Sustainable Planning Act 2009 requires
that if an application for the development approval were. made at
the time of making this request and evidence under section 264(1) of
the Sustainable Planning Act 2009 would be required to support the
application, this request must be accompanied by the written
agreement of the chief executive from whom evidence would be
required under section 264(1).

Section 264 of the Sustainable Planning Act 2009 provides that if a
development. involves a State resource, a regulation may require the
application to be supported by certain evidence prescribed under
regulation. Schedule 14 of the Sustainable Planning Regulation 2009
prescribes the State resources for which evidence is required to be
given, and the evidence required, to support the application.

 

 

 

 

[9. Applicant’s declaration . __l

 

Signature/s:

Z ee ee,

By making this request, | declare that all jAformation in this
request is true and correct.

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