001AC752.001

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              INTEGRATED PLANNING ACT 1997                                                               Form 2, Version 4.1; 3 March 2008
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                 a   &   &”       Form 2 Development Application                                                         idas
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    "         1,  Who is making the request?                                                                               ‘                   2
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              ‘Compahy'or organisation.name (iFapplicable) ReBbERT         LITLS ON |                                                          .
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              Ifdividdal applicany/Contact person (if there is more than éne- applicant, provide additional applicant details on an attachment to this form)*s< 2. FU - E
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              ADORISOT IE ousune approval Gee                              RE I i                                                            L
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              2.  What are the details of the approval sought to:be changed?                                                                  ! :
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    ‘eRe peat aptoval ota. [                     7 Menten aumber      | _Datelesued        |    request nat made ote aeessment menage) |
      ie,          BX Development Permit. =,
        %          C1  Preliminary Approval     0.4.     23/82             27/ 2 / o7 .         KERAIE           Coyte
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             “h. Can any part of the premises be identified by a street address or lot on plan description?                                 7%
                   C1 No - Answer Q3(a)                                                                                                   i ) :
       ‘           3(a) Does the application only involve a mobile and temporary environmentally relevant activity (ERA)?            2    4  4
        ;               [Xf No - Go fo 04     (_] Yes - Complete Table A stating the nature of the mobile and temporary ERA and each local  ad
        -                                         government area to which the approval applies. Then go fo Q6.                             rs
                   Table A      “.  ..* + Nature of fiobile and temporary ERA 2 i flt  =»     Name of each local government      of        Ls

                   [1 Yes - Completa Table B and Q3(b)’                                                                                  Se
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              fits: [88]             “Sheet Name and ocial siturtecaty namo. |. 68% [totwo.| pen fee ant |       Logan Cal
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