06/0676 - Extension to Relevant Period [As Published] · 142006.676.02

INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008

3(b). Can the address be further described by shop/tenancy number or storey/level?

] No

(] Yes - Complete Table C

4. Can the premises best be identified by coordinates (e.g. for development proposed in waters, or on a site within a large rural fot)?

&X1 No

[7] Yes - Complete Table 0

5.  Whatis the total area that makes up the premises (ie. the area covered byt the appication?

 

   

maridoutside watercourse

qm C1 hectares oO im? oO hectares
(Tick applicable unit) {Tick applicable unit)

Area of land above high wale

 

hg Area ina water body 0 or watercourse Sage

 

 

534.00

 

 

 

 

 

 

 

lOwner’s consent and resource owner's agreement... et a i iat

 

6. _ Is the person making the request the owner of the land to which the approval attaches?

& Yes | No - Complete Table E - provide details for each owner on a separate row, or on an attachment to this form if applicable. Note: Advice
provided at the end of this form details when owner's consent is not required.

7. if an application for the existing approval were being made now (i.e. at the time of making this request), would evidence be required to
support the application because it involved taking or interfering with a State-owned resource prescribed by schedule 10 of the integrated
Planning Regulation 1998 (IP Reg) or any other regulation

No oO Yes - Complete Table F and submit, with the application, written agreement to the request.

 

INature of the request #

8.  Whatis the nature of the request for change? (Tick the applicable box/es)

 

{XJ An extension of the period before an approval lapses (under IPA, section 3.5.22)
[J To change the development approval other than a change of condition (under IPA, section 3.5.24)

[] To change or cancel a condition of approval (under IPA, section 3.5.33) - Go to O11
oO To change conditions of a rezoning approval given under the Local Government (Planning and Environment) Act 1990 (under IPA,
section 6.1.35A) - Go to Q12
9. Were one or more concurrence agencies involved in the approval?

0 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)(a) and 3.5.24(1)(b).

 

 

 

    

 

_ Date notice gent’

 

“Each concurrence agency

Table G (use a Separate jow for each we a

 

 

Environmental Protection Agency 10/11/2005

 

 

 

 

 

10. Does the request for change relate to an aspect of the approval that involved a building referral agency?

Xl No 0 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).

 

 

 

‘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

 

Extension of preliminary approval period