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

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

No CO Yes - Complete Table G. Submit, with the application, a copy of the notice required fo be sent to each agency under
IPA sections 3.5.22(1)(a) and 3.5.24(1)(b).

 

Each concurrence agency Date notice sent
Table G (use a separate row for each agency)

 

1,

 

 

10. wt the request for change relate to an aspect of the approval that involved a building referral agency?

 

No (O 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}(b).
Each building referral agency Date notice sent
Table H {use a separate row for each agency) {notice only required for request to change a

development approval)

 

 

 

 

 

Detalls and reasons or justification for the request

141. What are the details of the requested change and the reasons or justification for the change? Use a different row for each change if more
than one.

 

Details of requested change (including extension of the period if relevant) Reasons or justification for the requested change

RerEd AA ReED ceTieh

 

 

 

 

 

Mandatory attachments and information
12. What are the mandatory attachments and supporting information accompanying this application?
Description of attachment or information Title and date (i appicable) Method of delivery to assessment

(e.g. notice to concurrence /building referral agencies, owner's (e.g. Jamas Street Traffic Report) manager
consent, resource owner's agreement, drawings, reports)

See AtIACHED
DOCUMENTATION

 

 

 

 

 

 

 

 

OFFICE USE ONLY

 

 

 

 

Date received Reference numbers Cost Code {applicable to EPA only) (ERAS)

 

 

 

 

 

 

Advice for completing Form 2
Page 3

 

 

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