05/0699 - Change to Development Approval [As Published] · 132005.699.02

 

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

 

 

3(b) Can the address be further described by shop/tenancy number or storey/level?
¥ No Cs Yes- Complete Table
Table C Shop/tenancy number Storey/level
1.

 

 

 

 

 

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

 

 

No 1 Yes - Complete Table D
Table D
Coordinates Zone lu
. ney ocal government area
{Note: place each set of coordinates ina separate row) _ Reference Oatum {if appicable}
Easting Northing Latitude Longitude

 

CL) Gpasa (] wese4

 

LJ Other

 

 

 

 

 

 

 

5. Whats the total area that makes up the premises (ie. the area covered by the application)?
Area of land above high water mark/outside watercourse

|. LSG Om Wreciares (Tick applicable unit) N | A Com? = (hectares (Tick applicable unit)

 

Area in a water body or watercourse

 

 

 

 

 

 

 

Owner’s consent and resource owner's agreement
6. ls the person making the request the owner of the land to which the approval attaches?

y Yes Oo No - Complete Table E - provide details for each owner on a separate row, or 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 Details of the premises owned : Date consent
Owner's namels and postal address (street address or fot on plan description) Signature* was obtained
1 |CaD SETUeRS ProPeseD Lor S 24[10 [08
CONE PITY LTD ON SP [ASS7\
<7

 

 

 

If an application for the existing approval were being made now (i.e. at the time of faking this request), would evidence be required to

 

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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
No (1 Yes - Complete Table F and submit, with the application, written agreement to the request.
Table F Date written agreement of the chief
Nature of State-owned resource Relevant State Goverment Department executive was obtained

 

 

 

 

 

 

Nature of the request

8. Whatis the nature of the request for change? (Tick the applicable boxes)
Os Anextension of the period before an approval lapses (under IPA, section 3.5.22)
(_ Tochange the development approval other than a change of condition (under IPA, section 3.5.24)
To change or cancel a condition of approval {under IPA, section 3.5.33) - Go to Q11
(1 Tochange conditions of a rezoning approval given under the Local Government (Planning and Environment) Act 1990 (under IPA,
section 6.1.35) - Go to Q12

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

_NOW

* Owners 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. $127 of the
Corporations Act 2001 (Cwealth) details how a company may execute a document.

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