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Change to Existing Approval - Height Variation to Existing Dwelling - MCU11/0053.01

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E:iI’   To change the development                0    To change the development                 0     To extend the relevant period
        approval                                      conditions                                      before lapsing

Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.




5. Concurrence Agencies

Was there one or more concurrence agencies involved in the original approval?                        f5i No
                                                                                                     o Yes-provide details below

Note    -
          Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence     agencies.
Concurrence Agency                                                                                   Date copy given




6. Pre-request response notice

 Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?

G:f No                                                             10 Yes
If yes, please attach a copy of the notice.



7. Owner’s consent

Is the owner’s consent required for this request?                      gNo
                                                                       o Yes- complete either Table A or Table B below

Note    - If more than one owner of the land all owners’ details are required                                                        ~   .




Table A     - owner’s consent provided on form                              Table B   -  owner’s consent provided on form

                                                                                                  i Grahame & Carol Warren
Owner’s name/s                                                              Owner’s name/s
                                                                                                 I
I/We, the above-mentioned owner/s of the land, consent                      Q The owner’s written consent is attached.
to the making of this request.


Signature/s


Date
                       I

2of4                   2012/13 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s

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