05/1916 - Request to change an existing approval [As Published] · 132005.1916.02

INTEGRATED PLANNING ACT 1997
Applicant details

Clearly identify who is making the application.
The applicant need not be the owner of the
land.

When signing and lodging this applicatio

The applicant is responeble for ensuring the.
information provided is correct. The
assessment manager, any referral agency and
the Chief Executive (where applicable) will rely
on thts information when assessing and
deciding the application.

‘ if the applicant is a company

A contact person must be shown. All
conespondence will be mailed fo this address.

12.

13.

17.

19.

Form 2, Versian 3.3, 29 May 2006
Name:

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Postal address:

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Signature: 49. Date: a
. Contact person: ¥

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Felephone number: 18. Mobile number: (if appicabie)

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Fax number: (ifappficable) 20. Email address: (f applicable)

 

 

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Under s3.5.22(1)(a} & 3.5.24{1)a) of IPA, a
copy of this request must be forwarded to each
cancurrence agency for the previous
application prior to lodgement of this farm with
the assessment manager.

Note; ‘No’ will always apply to a request fo
change conditions of arezoning approval given
under the P&E Act.

 

Land owner/s consent (i applicable) 21. Land owner's consent:
Section 3.5.24(3) of the IPA requires that the Name in Full Signature Date
land owner's consent must be provided if the
person making the request to change an : J of
existing approval is not the land owner. (i) FE Vere Keer 17, [e, 7.
For information about land owners refer to | ps
Guide 1 Making an IDAS development (ii)
apolication.
Land owner's consent is not required for a (iil)
mobile or temporary ERA
ifn owner has signed this form as (iv)
appticant, ther signature is not required again
in this section.
Hf there are multiple owmers, the consent of
: each owner ts required: .
Resource entitlement (if applicable) |22. At the time of the request, would a development application for the approval have required
Sections 3.5.22(4) & (5), 3.5.24(3B) & (3C), evidence of resource entitlement?
and 3.5.33(3B) & (3C) of the IPA may require
the witten agreement of a resource manager if NO - go fo @24 O) YES - goto 023
the request involves a prescribed State 23. Is this request accompanied by the written agreement of the chief executive from whom the
resource, ff when the request was made a . . “nea? fH; -
development application for the approval would evidence is required? (tick the applicable box)
have required evidence of resource entitlement [_] NO - the written agreement of the chief executive must accompany this request
-under section 3.2.1(5) of the IPA. CO YES
Nature of the request | 24. This request fs for:
Any person may request fo modify an existing [“] An extension of the relevant period for the development approval (s 3.5.22)
approval. ae
To change or cancel conditions (s 3.5.33)
[_] To change the development approval (other than a change of a condition) (s 3.5.24)
[_] A change to conditions of a rezoning approval given under the P&E Act (s 6 1.35A)
25. Provide details of, & justification for, the proposed modification
SEE AIVVACGHELO ,
Concurrence agencies 26.

Did the previous application involve concurrence agencies or building referral agencies?
NO .

[ ] YES - dst the concurrence agencies who have been sent a copy of the request for modification

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