07/2277 - Op Works - Change to existing approval - Ext of Currency [As Published] · 142007.2277.02

INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

4. Can the premises best be identified by coordinates (e.g. for development proposed in waters, or on a site within a large rural tot)?

[X] No

L] Yes - Complete rable D

5.  Whatis the total area that makes up the premises (ie. te area covered by the application)?

 

  
   

    

 

 

 

 

 

 

 

 

“Area of land above high water mark/outside watercourse * Area in a water body or watercourse : 4 a
675.00 bam’ CD hectares Om CD hectares
, (Tick applicable unit) (Tick applicable unit)
iOwner's consent and resource owner's agreement: . ee ae SEE}

     

 

6. _ Is the person making the request the owner of the land to which the approval attaches?

L] Yes [4] No - Complete Table E - provide details for each owner on a separate sow, oF on an attachment to this form if applicable, Note: Advice
provided at the end of this form details when owner's consent is not required.

 

     
  
 

 

 

 

 

 

 

 

 

Table E
33.7 Details of the premises owned :=£° +}. Date’ written consefit
| 4s. (street address. or lot on plan. description) = | x, was obtained tare.
a Karsbin Pt Lots 1-4, 6 & 7 on BUP2665 05, MW04
45 Gear A 4-4
MtHelen, Vi 3350 ACN (00 154 VE A ,
Rid Selkirk Pty Ltd
|? | ach 006 674 022 Lot on BUP2665 FA en We 4
15 Gear Ave. tT
MtHelen, Vie 3350 Ae VL b 4 0 "dL, iL 5
The Body Corporat
3] Sandpiper Nossa Heads CTS12476 | Spmmon property on BUPZ6E5

 

 

 

 

 

* Owner's signature can not be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company the company must sign as owner. S127 of the Corporations Act
2007 (Cwealth) details how a company may execute a document.

7. \f an application for the existing approval were being made now (i.e. at the time of making this request), would evidence be required to
support the application because it involved taking or interfering with a State-owned resource prescribed by schedule 10 of the Integrated
Planning Regulation 1998 (IP Reg) or any other regulation

[Xx] No (1 Yes - Complete Table F and submit, with the application, written agreement to the request.

 

     
  

Nature of the request...”

 

SivsineadaatSX srs wed,

8.  Whatis the nature of the request for change? (ick the applicable box/es)
LX] An extension of the period before an approval lapses (under IPA, section 3.5.22)
(J To change the development approval other than a change of condition (under IPA, section 3.5.24)

LD To change or cancel a condition of approval (under IPA, section 3.5.33) - Go to Q11

oO To change conditions of a rezoning approval given under the Local Government (Planning and Environment) Act 1990 (under (PA,
section 6.1.35A) - Go to Q12

9. Were one or more concurrence agencies involved in the approval?

{[] No & Yes - Complete Table G. Submit, with the application, a copy of the notice required to be sent to each agency under IPA sections
3.5.22(1){a) and 3,5.24(1){b).

 

  
 
   

 

D: ce sent:

9

Table G

 

 

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Department of Environment and Resource Management 4 / {\ |
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10. Does the request for change relate to an aspect of the approval that involved a building referral agency?

[DX] No (Yes - Complete Table H. Submit, with the application, a copy of the notice required to be sent to each agency under IPA section
3.5.24(1){0).