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132004.240018.A - Request to change an existing Approval

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                                                                                                        ! 0 To extend lhe relevanl period                   /
        approval                __   '''. -'     <:~di~ns_    .. , ..,..   ..'            before lapsingi,                                                  I
    Please attach documenlallon    outlining the detail of and the reasons and Justlflcallon for the requested                          change or           I
    e,xtenslon.                                           -:.,., •                                                                                  .   ..I.




    5. Concurrence      Agencies
,was lhere one or more concurrence agencies involved In the original approval?                              0 No
                                                                                                           ,&,Y~s-:p(ovide details below
                                                                                                                                                    J   .
    Not. - Under s372 0' the Suslainobl. Planning Acl 2009lhe person ';'.king the request Is required 10give a copy of this requesllo a~
    concurrence agencIes.
                                                                                                                                                            I

                                  _._---------------------~                                                        _. __                     ..
                                                                                                                                              _j
                                                                                                                                                         .i
    6. Pre.request     response     noUce
     Has a pre-request response been given by a relevanl entity (e,g. a concurrence agency) for this request?
    i'lN-;;-                                             ~._            lo~es                            ,',"._,
                                                                                                             ..-   ,.on   •••••••••••        • __




    If yes, please attach a copy of the notice.
                                                                             .. .._----------------------'

    7. Owner's consent
iIs the owner's consenl required for lhls request?                         l!:.~.o                                                       .               1
I                                                                          I~Yes- complete eIther Table A or Table B below                               I
!   Not-e'-'-'-fm-o,-e-th-a-n-o-ne-o-w-n-.-r                          ~~;e'q~l:ed""
                                     -of-lh-e-la-n-d-a-lI-ow-ne-r-s'-d-e-la-.I!-~
                                                                                  ---,--------------
                                                                                                     .                                              .J

    Owne(s namels             f~_e_T_No_._9~o_~_!-=_~ _                              Owner's   name/s                                                    I

.lfWe. the above-mentioned ownerls of the land, consent                              o The owne(s wrillen consent is attached.
                                                                                                                                                    ..J
  to the making of Ihis requesl.
                          t        .- .••_-

ISignature/s
"
                                                                            Peel No 90 Ply limiled ACN 117 354 195 by ils duly authorised
                                                                                          o...v-> (""-" -<;;"""Q,,-           ':lw._ .....•.......
                                                                                                                                            ~"-
                     _J
                                                                            allorney
                                                                            Level-<.Allorney - under Powerof Allorney No. 713519829 and
IDaie                           lB~ )~,~-"                                  who has received no notice of revocation of that <lUorncy and who
                                                                            warrants lhal they have the requisite power under lhat attorney.

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