23313 DA - Change to Development Approval - Extension to Currency Period [As Published] · 132003.220808.3

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Form 2, Version 3.3, 29 May 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appficant details fiz Nama -— ———
Clearly identily mho is mating the spptication. [ carThy TROMEON ——— =)-—
Poste! address:
[CRIS CRW PROS RET GRISANE (hj
. Signature: 15. Date:
a (7-9-9)
A contact person must be shown. A 16. Contact person:
corespondance wilte maiednesadies | 6 (CRY 4+ GRANT (aon Son) _]
17. Telephone number. 18. Mobie number: (appicable)

Land ownerls consent (? spplicable) 241.

‘Saction 3.5.24(3) of the (PA requires that he
land owner's consent must be provided if the
person making the request to change an
existing approval is not the tend owner.
For Information about land owners refer to
Guide 1 Mating an 1048

Srafcation.
Land owner's consents net required for &
(nchile ox temporary ERA.

Men qumes hare signed this forme 29
sogiicent trek signature bs not required again
tn ths section,

the consent of
Sach owner Is required.

‘Resource entitlement (ff appicabie) 22.

Sactions 3.5.22{4) & (8), 3.5.24(38) & (3C),

48.

 

( 23,0073 | [| O43 Se &20)]-

Fax number: a 20. Email address: (i epptcabe) .
L_elthomse @, bigpore/ nit . av

Land owner's consent.
Name in Full

1 CASON TROMSOn
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At the time of the request, would a development application for the approval have required
evidence of resource entitlement?

 

migtontoageeeammmnte|  ]NO. ioc CVEs- rence
the request invohres a prescrived State 23. Is this request accompanied by the written agreement of the chief executive from whom the
Seer eps rs al evidence is required? (tthe appcable bax

evidence of entidement - .
ecm sAatePA Cae mma arveren tte ie stint ere 9
Nature of the request ~ 24. This request Is for:
‘Any parson mary request to modtly an existing ‘An extension of the retavant pertod for the davetopment approval (s 3.522)

CO To change or cancel conditions (e 3.5.33)

C0 To changs the development approval (other than a chenge of a conition) { 3.6.24)
LA change to conditions of a rezoning approval given under the P&E Act (s 61.354)

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25. Provide details of, & justification for, the proposed modification .

DUST REURW FROM WORKInG IN Bone ny, Nyy 67

Fon TeE LRET Fow 1TreRCS OND NOW

Wert TO StIRET  Boiwdbinas Ww In RBAG?
Concurrence egencies 28. Oid the previous appiication involve concurrence agencies or building referral agencies? — Years
Under 33.5.22(1Xa) & 3.5.24{1}a) of IPA, a NO
cpaaranca spongy tr Be proves toemch (DYES - tst tne concuence agencies who have been sant e copy of the request for modification t LAS
application prior te lodgement of this form with
tha assessment manager. 0 Z
Motes "No" wi always apply to 8 request to ®
_ Ghiznge conditions of a rezoning spprovat given ) i
under tha P&E Act. i 1