08/1159 - Application for extension [As Published] · 172008.1159.02

Lb.         Pre-request response notice                                  8.         Does the request involve a State resource
                                                                                    prescribed under the Sustainable Planning
 Has a pre-request response notice been given by a relevant                         Regulation 2009, Schedule 14?
 entity (e.g. a concurrence agency) for this request?
F l Ye                                                                         No
III Yes
                                                                        E Yes - complete Table C below
          if yes, please attach a copy of the notice.
                                                                         Table C - State owned resource
                                                                         Nature of State owned resource
 7.         Owner's consent

 is the owner's consent required for this request?
        No
                                                                         Nature of evidence required
 3      Yes - complete either Table A or Table B below                         Evidence of allocation of /entitlement to, the resource
 Note - If more than one owner of the land all owners' details are             Evidence the chief executive has agreed to the request
 required.
                                                                                Attach a copy of the evidence required above.

 Table A - owner's consent provided on form
 Owner's name/s                  'i3 ____ETH HtA_                        NOTES: For question 8
                                                                         Section 370(3) and (4) of the Sustainable Planning Act 2D09 requires
 I/We, the above-mentioned owner/s of the land, consent to               that if an application for the development approval were made at
 the making of this request.                           _                 the time of making this request and evidence under section 264(1) of
 Signature/s             3t             !Qi                              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
 Date                            14   JOL-7'      20T0
                                                                         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
 Table B - owner's consent attached                                      application to be supported by certain evidence prescribed under
 Owner's name/s                                                          regulation. Schedule 14 of the Sustainable Planning Regulation 2009
                                                                         prescribes the State resources for which evidence is required to be
                                                                         given, and the evidence required, to support the application.
      T_The owner's written consent is attached.


  NOTES: For question 7                                                 F9.         Applicant's declaration
 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        By making this request, I declare that all information in this
        263(2)(d) of the Sustainable Planning Act 2009 applied when      request is true and correct.
        the application for the approval was mode; or
 •      is for 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.




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