Change to a Development Approval 132009.1102.02

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             To change the development                             0 To change the development                                    0             To extend the relevant period
                                                                          conditions                                                            before lapsing
             _appro~~I_                                                                    ____.__._..
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    1 Please attach documentation outlining the detail of and the rea$ons and Justification fOr the ...qu.,.ted changA
                                                                                                                                                                                                           or

    I extension.
    .
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                                                                                                                                                        for          request?
        t-i~a ’pre-reques~ re~onse been given .by
                                                                          r~I~~~~!_elnt (e.~_a_(:~n~urrence agency~ this
                                                                                           ty
                                                                     a

    rn’No                                                                                  0Yes
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llf yes, please attach a copy of the notice.
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IN~~_-_~!_mor~.fr.l~_~_o_n.e__ownerofthe.lan_~_~~ers’detallsarerequired                                                            _       _______            ______        __.   ..        .   _   __.____
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                                                                                                      Tal;lle B    - owner’s consent provided on form

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    Owner’s name/s
                                      Ne:vOL                                                    I Owner’s namets
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    IlWe, the above-mentioned ownerls                                and, consent,              I             The owner’s written consent                            i~ ~tta~hed.
    to the



,Signaturets’
                 ~~~n9 of    th;s     request.
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I   Date
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    20f4                         2012/13 Regional Strategy and Planning Request to Chango Existing Approval and/or Extension to Relevant Period FM3002s