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Change to Development Application Form - OPW11/0240
3. Nature of request (please tick ALL applicable categories)
To change the development | To change the development 1 To extend the relevant period
approval _. conditions before Japsing
| Piease attach documentation outlining the detail of and the reasons and justification for the requested change or |
i i exte’ sion.
5. Concurrance Agencies
| Was there one or more concurrence agencies involved in the original approval? RNo
iO Yes-provide details below ~
‘ Note — Under s372 of the Sustainable Planning Act 2009 the person 1 making the request i is required d to ¢ give a copy of this request to all !
| concurrence agencies.
lovee ieee iad Date copy given
6. Pre-request response notice
| Hasa pre-request response | been given by a relevant entity (e.g. a concurrence agency) for this Tequest?
RN No : OYes
i yes, please attach ‘a 1 copy 0 of the notice.
‘Is the owner's consent required for this request? im No
L O Yee~ complete either 7 Table Aor Table B below _ _
Table A — owner's consent provided on form
: Date |
[Owner's namels ferme serene er emnemn
Table A — owner’s consent provided on form
i We, , the above-mentioned « owner/s of the land, consent
;to the making of this Tequest.
| Signature/s | nvmnn see
20f4 2011/12 Regional Strategy and Planning Request to Change Existing Approvat and/or Extension to Relevant Period FM404
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