23616 DA - Change a Development Approval [As Published] · 132003.221132.4

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

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

(X] No

CI Yes - Complete Table 0

5.  Whatis the total area that makes up the premises (ie. the area covered by the application)?

 

 

 

 

 

 

 

 

 

; Area of land above high water mark/outside watercourse Area in a water body or watercourse
7203 om {J hectares om OC hectares
° {Tick applicable unit) (Tick applicable unit)
{Owner's consent and resource owner's agreement |

 

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

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

7. _ fan application for the existing approval were being made now (i.e. af 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

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

 

[Nature of the request |
8. What is the nature of the request for change? (Tick the applicable box/es)

(7 An extension of the period before an approval lapses (under IPA, section 3.5.22)

] To change the development approval other than a change of condition (under IPA, section 3.5.24)

[XJ To change or cancel a condition of approval (under IPA, section 3.5.33)- Go to Q11

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?

& No Oo 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(t)(a) and 3.5.24(1)(b).

10. Does the request for change relate to an aspect of the approval that involved a building referral agency?
K No oO 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 (including extension of the period if relevard) Reasons or justification for the requested change |
1 | Refer to attached letter Refer to attached letter
\Mandatory attachments and information |

 

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

 

Description of attachment or information
(e.g. notice to concurrence /building referral agencies,
owner's consent, resource owner's agreement, drawings, reports)

Title and date (if appiicatie) Method of delivery to
(e.g. James StreetTraffic Report) assessment manager

 

Cover Letter (w/details of proposed Changes)

 

2 | Owners Consent

 

3 | Track Changes of Conditions

 

4 | Proposed Track Changes of Judgement