1514_2015.12.18_ChangesApplication · 132004.5744

 

 

 

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

/NYNo 10 Yes - complete below details

‘Nature of State owned resource:

 

 

Nature of Evidence required:
ad Evidence of allocation of / entitlement to, the | resource | .OF
/Attach a copy | of the evidence req i

 

 

 

 

 

9. Declaration of applicant
‘IWe, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this

 

 

Date [6 12.1 Li

 

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