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07/1728 - Change to Development Approval - Boundary Setback [As Published] · 132007.1728.02

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INTEGRATED PLANNING ACT 1997

No
IPA sections 3.5.22(1)(a} and 3.5.24(1)(b).

Form 2, Version 4.1, 3 March 2008

Yes - Complete Table G. Submit, with the application, a copy of the notice required to be sent to each agency under

 

Date notice sent

 

 

 

 

 

 

 

 

 

 

Each concurrence agency
Table G (use a separate row for each agency)
7 -
10. Does the request for change relate to an aspect of the approval that involved a building referrat agency?
K No DC Yes - Complete Table H. Submit, with the application, a copy of the notice required to be sent to each agency under
IPA section 3.5.24(1)(0).
Each building referral agency Date notice sent
Table H (use @ separate row for each agency) (notice only required for request to change a
. . development approval)
1. 2 a Mo . 3 ‘|
s " -

 

 

 

= ae

Details and reasons or justification for the request

 

11. What are the details of the requested change and the reasons or justification for the change? Use a different row for each change if more

than one.

 

Details of requested change (including extension of the period if relevant)

Reasons or justification for the requested change

 

FAIA TY OSIS (WO B97 OW BE
PL ee VEO BX (MCL
2a) fear»

 

 

VARY BR7BICKS FO LEAL. BovWONLY

LP

 

 

77 23
Mandatory attachments and information

12. What are the mandatory attachments and supporting information accompanying this application?

 

Description of attachment or information
(@.g. notice to concurrence /building referral agencies, owner's
consent, resource owner's agreement, drawings, reports)

Method of delivery to assessment
manager

Title and date (if appticabie)
(e.g. James Street Traffic Report)

 

Fak | PPIEF FF 7
Foam 2 CHA MG ES 7pp I
PBC ITELCT URAL 8 SHC,

 

 

 

7 AWD —OELNWELY

 

 

 

PLP WS

 

OFFICE USE ONLY

 

Date received Reference numbers

 

 

 

 

 

433062
(ERAs)

 

 

Cost Code (applicable to EPA only)

 

 

 

Advice for completing Form 2

Page 3

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