ADAMS+SPARKES MCU Permissible Change Request (David Low Way) 160105 · MCU13/0251

 7. Does the request involve a state resource prescribed under the Sustainable Planning Regulation
 2009, schedule 14? (e.g. the application involves state land, or taking quarry materials. Refer to the notes
 at the end of this form for more information)


  X    No                  Yes—the written agreement of the chief executive from whom evidence would need to
                           be obtained under the Sustainable Planning Act 2009, section 254(1) must be attached.

 8. Has a pre-request response notice been given for this request?


  X    No

       Yes—a copy of the pre-request response notice must be attached to this request

 9. Is a copy of this request required to be given to another entity under section 372 of the Sustainable
 Planning Act 2009? (refer to notes at the end of this form for more information)


       No
  X    Yes—complete Table F

Table F

A copy of this request has been provided to the entities identified below (provide details for each entity given a
copy of the request and the date the copy was given)

      Assessment manager for
      the original application

  x   Concurrence agencies for
                                           Department of Infrastructure, Local Government & Planning
      the original application

      Any other entity prescribed
      by a regulation


 10. Provide details of any other supporting information attached to this request



 Permissible Change Request letter


Notes for completing this template
 This template is not an approved form under the Sustainable Planning Act 2009. The entity responsible for
  deciding the request may have their own form for the purpose of making a written request to change an
  existing development approval. A change to an existing development approval may involve:
  o     a change to an approval given by the assessment manager
  o     a change to a condition imposed by a concurrence agency
  o     a change to an approval given by the Minister under a Ministerial call in
  o     a change to a condition imposed by the Minister under a Ministerial direction
  o     a change to an approval given by the Planning and Environment Court



Request to change existing approval template                                                                         -4-