51995.1871.02 (TPC 2888Additional Information

 3. Nature of request (please tick ALL applicable categories)
 E1      To change the development               q     To change the development           q    To extend the relevant period
         approval                                      conditions                               before lapsing
 Please attach documentation outlining the detail of and the reasons and justification for the requested change or
 extension.



 4. Location of the premises
 Unit No                          Street No                   Street     A-(t^^r(v-
                                                                                                                                '+
 Suburb                                                                       State                      Postcode L

M
                                  ^ Plan type & plan no.
         i,-:, t -1                 4 ' i7           .36,6,




 5. Concurrance Agencies
 Was there one or more concurrence agencies involved in the original aporoval?                 f No
                                                                                               q Yes-provide details below
Note Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence agencies.

.Concurrence Agency                                                                            Date copy given




6. Pre-request response notice
 Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
:A0                                                              q Yes
If yes, please attach a copy of the notice.


7. Owner's consent
Is the owner's consent required for this request?                      q No
                                                                        Yes- complete either Table A or Table B below
Note If more than one owner of the land all owners' details are required


Table A - owner's consent provided on form
                                                                          Date
                      r'htlt f^                    L
Owners name's                       `Jy`^     ^"       v
                                                                          Table A - owner's consent provided on form
I'We the above-mentioned owners of the land, consent
to the making of this regt.                                               Owner's name/s


Signature/s                                                               0 The owner's written consent is attached.




2 of 4     2011/12 Regional Strategy and Planning Request to Change 17xisting Approval ancror Extersicn to Relevant Period F^; 4D'


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3. Nature of request (please tick ALL applicable categories)

EY Tochange the development O Tochange the development O To extend the relevant period
approval conditions before lapsing

Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.

4. Location of the premises
Unit No oy StreetNo AD Street Lloestwasd sft

Suburb IS 4 HEAPS State © Postcode «~ sc 1
Plan type & pian no.

    

          
  
         
   
 
   
 
 
 
    
   
  
     

  

5. Concurrance Agencies
Was there one or more concurrence agencies involved in the original aporoval?

  

0 Yes-provide details below

Note — Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence agencies

Cerca wae Lita Date copy given

6, Pre-request response notice

Has a pre-request response been given by a relevant entity (e.g. a concurrence agency) for this request?
alo 0 Yes

If yes, please attach a copy of the notice.

VPme Tames la
ls the owner's consent required for this request? O No

Yes— complete either Table A or Table B below
Note _ If more than one owner of the land all owners’ details are required

 

 

Oe a meek RR olay
Date

 

Phils Taha Bacod

Rv@et Antiuve “4 oe dad Table A— owner's. consent provided on form

\/We, the above-mentioned owner/s of the land, Consent

to the making of this request. \
Signature/s , Se 1 The owner's written consent is attached.

Owner's name/s

Owner's name/s

of4 2011/12 Regional Strategy and Planning Request to Change Existing Approval ana/or Extension to Relevant Period FM407