Representations for Negotiated Decision · OPW12/0534

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         To change the development                              To change the development                               To extend the relevant period

         approval                                               conditions                                              before lapsing

     Please atta h documentation outlining the detail of and the reasons and justification for the req                                           change or
     extension.                               ~                   \.e




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     5. Concurrence Agencies

     Was there one or more concurrence agencies involved in the original approval?                                 orNo
                                                                                                                   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




                                   a copy of the notice.




     Table A      -
                      owner’s consent provided on form
                                                                                  Date

     Owner’s name/s
                                                                                  Table B          -   owner’s consent provided on form
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     I/We, the above-mentioned ownerls of the land, consent
                                                                                  Owner’s name/s
     to the making of this request.

                                                                                  o The owner’s written consent is attached,
     Signature/s




     20f4                    2012/13 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM3002s