Completed Extension Application Form · 152006.1999.2

 5) Further details
 5.1) Provide the currency period for this development approval.


 4 year currency period – 05 July, 2017

 5.2) Identify how long this application seeks to extend the currency period of this development approval.
 Note: reasoning to support the proposed extension should also be provided


 2 year extension to the currency period – Please refer to attached documentation outlining reasons and justification for the
 extension.




PART 4 – FOR OFFICE USE ONLY
 Date received:                              Reference number(s):



The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
Infrastructure, Local Government and Planning. This template (or the assessment manager’s form) and any additional
materials supporting this extension application must be sent to the assessment manager.




                                                                                                                        Page 2
                                                                                                          Applicant template 5.0
                                                                                                        Version 1.0—3 July 2017