08/0256 - Change to Development Approval [As Published] · 142008.256.02

 

 

INTEGRATI LANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

No (Yes - Complete Table G. Submit, with the application, a copy of the notice required to be sent to each agency under
IPA sections 3.5.22(1)fa) and 3.5.24(1}{d).

 

Each concurrence agency Date notice sent

Table G (use a separate row for each agency)

 

1.

 

10. al request for change relate to an aspect of the approval that involved a building referral agency?
No O 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){b).
Each building referral agency Date notice sent
Table H (use a separate row for each agency) (notice only required for request to change a
development approval)
1.

 

 

 

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 diferent 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
1 | Areceroy 7 Fei viéagrD REESE ATT BppBO

Dove éLzey Ftsernenz| 2,
GL Laver ews Ls POLLS

 

 

 

 

 

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

 

Description of attachment or information Title and date (applicable) Method of delivery to assessment
(€.g. notice to concurrence /building referral agencies, owner's (e.g. James Street Traffic Report) manager
consent, resource owner's agreement drawings, reports)

| Dbepmes ALE POX F— —- by fall.

 

 

 

 

 

 

 

 

OFFICE USE ONLY

 

433062

Date received Reference numbers Cost Code (applicabie to EPA only) (ERAs}

 

 

 

 

 

 

 

 

 

Advice for completing Form 2
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