Request to extend relevant period 132003.221199.3

    To change the development
    approval                                           conditions                                       before lapsing

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




LOT 27                            RP89506




5. Concurrence Agencies

Was there one or more concurrence agenci es involved in the original approval?                         B No

                                                                                                       o 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 concurren                    agency) forthis request?
181 No                                                              10 Yes
If yes, please attach a copy of the notice.



7. Owner’s consent

Is the owner’s consent required for this request?                        0No

                                                                         181 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

Owner’s name/s
                                                                              Table B    -
                                                                                             owner’s consent provided on form

I/We, the above-mentioned owner/s of the land, consent                                                David Neate
                                                                              Owner’s name/s
to the making of this request.


                                                                              181 The owner’s written consent is attached.
Signature/s




20f4                    2012/13 Regional Strategy and Planning   Request to Change Existing Approval and/or Extension to Relevant Period FM3002s