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07/1173 - Changes to a Development Approval [As Published] · 142007.1173.02
INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008
4. Can the premises best be identified by coordinates (e.g. for development proposed in waters, or on a site within a large rural fol)?
No
(7 Yes - Complete Table D
§. Whatis the total area that makes up the premises (ie. the area covered by he apptcation)?
24 “Area of land above. high water, markloutside watercourse Pp Area in a water body or watercourse .
m2 h m2
Oo C1 hectares 982.00 {x} CD hectares
(Tick applicable unit) {Tick applicable unit)
{Owner's consent and resource owner's agreement —_ __- _|
6. _ Is the person making the request the owner of the land to which the approval attaches?
O Yes No - Complete Table E - provide details for each owner on a separate row, or on an attachment to this form if applicable. Note: Advice
provided at the end of this form details when owner's consent is not required.
Table €
“Owners namels and postal’ Details ‘of the premises owned”. | - gy nature" ~ Jy :] Date witten.consent
- “address (street address or lot on plan description) e Signatures =| | wasobtained
4] Resource Allocation (refer to attached | 1 164 on CP907410 19-May-2009
approval)
“ Owner's signature can not be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company the company must sign as owner. $127 of the Corporations Act
2001 (Cwealth) details how a company may execute a document.
7. Ifan application for the existing approval were being made now (i.e. at the time of making this request), would evidence be required to
support the application because it involved taking or interfering with a State-owned resource prescribed by schedule 10 of the Integrated
Planning Regulation 1998 (IP Reg) or any other regulation
O No Yes - Complete Table F and submit, with the application, written agreement fo the request.
wore Tas. ge ee oie yo
Table F - Nature of State-owned resource = | "Relevant State Goverment epartent eee eee
1 | 1. Land subject to a lease (including a freeholding lea | Department of Environment and Resource Management 19-May-2009
Natureoftherequést. ean oe " ” ey
8. Whatis the nature of the request for change? (Tick the applicable box/es)
(J An extension of the period before an approval lapses (under IPA, section 3.5.22)
(J To change the development approval other than a change of condition (under IPA, section 3.5.24)
To change or cancel a condition of approval {under IPA, section 3.5.33) - Go fo Q11
o To change conditions of a rezoning approval given under the Local Government (Planning and Environment) Act 1990 (under IPA,
section 6.1.35A) - Go fo Q12
\Details.and reasons or justification forthe request ve “ ; . |
11. What are the details of the requested change and the reasons or justification for the change? Use a different row for each change if more
than one.
Details.of requested change (including extension ofthe period ifrelevenl a “Reasons 6r justification for thé requested'change *.
4 | Amendment to condition 1 to insert amended site plan Refer to attached covering letter and amended site plan
‘Mandatory attachments and information “:3:" 5 Bede
12. What are the mandatory attachments and supporting information accompanying this application?
Description of attachment or information Title’ and date (tapplicadi hod of delivery to.
- (2.9. notice to. concurrence /building referral agencies, i nn fed
owner's consenl, rescurce owner's agreement, drawings, reports)|'* _ (ogidames Street Trafic Repor) assessment manager
Proposed Additions & Renovations to Existing Timber
Framed Sheet Roof Boat Shed & Wharf - 22/04/09 - 0808S
Sheet 7 of 7
=
Site Plan over the counter
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