08/1616 - Change to Development Approval [As Published] · 172008.1616.02

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 storeyfevel?
No

(Os Yes-cCunipiete Table C

 

Table C

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4. Can the premises best be identified by coordinates (e.g. far development propased in waters, or an a site within a large rural fof)?
No DD Yes - Conpiele Table 2
Table 0
(Note! place cath Sel of coordinates th 0 separate row) va ene ae ‘Datum wy goverment asa
1. i Gbaes (] wese4

 

 

 

 

i Other
5... What i is tha otal a area a that makes Sup the premises fie. the area covered bythe application)?

 

 

 

 

 

 

 

 

 

 

 

    

 

 

6: we saking the requést the owner of the land to which-the approval attaches? daty
Yes

oO No — Complete Table E - provide details for each owner on a separate (OW, oF Of an attaciment ‘9 this form if ‘applicable. (Mote: Adsico
provided at the end of this form details when owner's cansent is not required: *

 

 

 

 

 

 

 

 

 

 

7. -Ian 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
Intég fed Planning Regulation 1998 (P Reg) } or any ‘other. regulation
No .o Yes- Complete Table F and submit, with the application, wrilten agreement fo the request
Table F

 

 

 

 

 

 

 

 

 

 

What is the nature of the request for change? (Tick the applizatie bowes)
(2 Anextension of the period before an approval lapses (under IPA, section 3.5.22)
fyTo change the development approval other than a change of condition (under IPA, section 3.5.24)

wT ‘0 change or cancel a condition of approval (under IPA, section 3.5.33)- Go to Qt? :
{1 To change conditions of a rezoning approval given under the Local Goverment (Planning and Environment) Act 1990 (under PA,
saction 6,1.35A) - Go fo Q72

9. Were one or more concurrence agencies involved in the approval? Na

> Owner's signature can not be pravided on the form if you intend to submit the application etectronically. Ovener’s consent must be provided to the assessment manager on
an attachment containing appropriate written docurnentation of the awner’s consent. {f the owner is a company the company must sign as owner. $127 of the
Corporations Act 2001 (Cweaith} details how a company may execute a document.

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