Change to Existing Approval - OPW11/0116.01

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        1111111              Integrated Development Assessment System template                                    .




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     Request to change an existing approval template
     (SustainablePfanning Act 2009 version 1.1 effective March 1010)



     This template may be used for giving a written notice asking the responsible entity to make a permissible change to a
     development approval under section 369 of the Sustainable PlanningAct 2009 (SPA). It should be noted that if the
     responsible entity for the request has a form for the request, the request must made using that form.

     This template must be lodged with the following entity (the responsible entity) as applicable:

           if the change is to a condition imposed by a Minister under chapter 6, part 11, division 1 of SPA the template must be

           lodged with the Minister that imposed the condition
           if the approval was given by a Minister under chapter 6, part 11, division 2 of SPA the template must be lodged with

           the Ministerthat gave the approval

           if the change is to a condition of the approval imposed by a concurrence agency the tem plate must be lodged with the
           concurrence agency

     .     if the approval was given by the Planning and Environment Court the template must be lodged with the Planning and
           Environment Court

     .     in all other cases the template must be lodged with the assessment manager for the original development application.


     Attach extra pages if there is insufficient space on this template. Terms used in this template having the meaning given in
     the Sustainable PlanningAct 2009.




    11.Who is making the request7
     Name/s (individual or company name in full)                                       c.,<>S+                        C_QJ..f\C \
     For companies, contact name                                   ~n~t<.
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     Postal address


                                                                   l:a;::Xi>=                    6cld. Coo~r             !.r;l17

     Contact phone number                                          1(01)SSb (fa~by
     Mobile number (non-mandatory)                                 I 04-0J 101olJ1+ <63
     Fax number (non-mandatory)
                                                                   I (Oc)$’5:3:8 t4:J
     e.mail address (non-mandatory)
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       Department of Infrastructure and Planning                               Qplan                   ..
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