Request to Change Existing Approval Form

| NOTES: For question 7

Under section 371 of the Sustainable Planning Act 2009, if the person making the request is not the owner of the land to which the
approval relates, the request must be accompanied by the owner's consent.

However, owner's consent is not required if the approval:

- relates to land the was acquisition land to which section 263(2)(d) of the Sustainable Planning Act 2009 applied when the
application for the approval was made; or

~ is fdr building work or operational work for the supply of community infrastructure on land designated for the community
infrastructure; or

- the consent of the owner would not be required under section 263(1) of the Sustainable Planning Act 2009 if a development
application were made for the requested change.

Also, owner's consent is not required if the Assessment Manager is satisfied that:

- the number of owners of the land make it impractical to obtain owners’ consent, and the requested change does not materially
affect the owners’ land; or

- having regard to the nature of the proposed change, the owner has unreasonably withheld consent and the requested change
does not materially affect the owner's land.

8. Does the request involve a State resource prescribed under the SustainablePlanning Regulation 2009,
Schedule 14?

| 1 No D Yes - complete below details

Nature of State owned resource:

| Nature of Evidence required:

io Evidence of allocation of / entitlement to, the resource | 1 Evidence the chief executive has agreed to the request
Attach a copy of the evidence required above

NOTES: For question 8 Saige Pai

| Section 370(3) and (4) of the Sustainable Planning Act 2009 requires that if an application for the development approval were made at

the time of making this request and evidence under section 264(1) of the Sustainable Planning Act 2009 would be required to support

the application, this request must be accompanied by the written agreement of the chief executive from whom evidence would be
| required under section 264(1).

Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a State resource, a regulation may require
the application to be supported by certain evidence prescribed under regulation. Schedule 14 of the Sustainable Planning Regulation
| 2009 prescribes the State Tesources for which evidence is required to be given, and the evidence required, to support the application. _

 

9. Declaration of applicant

 

IWe, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this |
application with Council. Should any of the details given in relation to this application be changed in the future, the |
applicant shail advise Council in writing prior to any such change being implemented. |

Signaturels (YG (ped ( DES tox?) : | Date [1 & 12, ly

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