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Change to Development Application Form - OPW11/0240

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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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