05/1189 - Change to Development Approval [As Published] · 132005.1189.03

INTEGRATED PLANNING ACT 1997 Form 2, Version 4.1, 3 March 2008
No (J Yes- Complete Table G. Submit, with the application, a copy of the notice required to be sent to each agency under
IPA sections 3.5.22(1)(a) and 3.5.24(1)(b).

 

Each concurrence agency Date notice sent
Table G (use a separate row for each agency)

1.

 

 

 

 

 

10. Does the request for change relate to an aspect of the approval that involved a building referral agency?

 

wy No OO Yes~- Complete Table H. Submit, with the application, a copy of the notice required to be sent to each agency under
IPA section 3.5.24(1)(b).
Each building referral agency Date notice sent
Table H (use a separate row for each agency) (notice only required for request to change a
development approval)

 

 

 

 

 

 

Details and reasons or justification for the request

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.
Delails of requested change (including extension of the period if relevant) Reasons or justification for the requested change
1. |ReQuese + - . .
‘ ne val & \aroe Ane Darimnsy Vas (YP ce, aS a ww godians
Lee, We warhead poutrlacc, the da

 

 

 

 

Suitarned oad Sanne ns.

Mandatory attachments and information

12. What are the mandatory attachments and supporting information accompanying this application?

 

 

 

 

 

 

 

 

 

 

Description of attachment or information : Title and date (if appicabie) Method of delivery to assessment
(e.g. notice to concurrence /building referral agencies, owner's (e.g. James Street Traffic Report) Manager
consent, resource owner's agreement, drawings, reports)
1. [Nooreist rapes Goon [Tate Assessment REMAT
David Wavthorn, HK CARE S(s{ Lor
AAD AS PLANTERS.
OFFICE USE ONLY
a . 433062

Date received Reference numbers Cost Code (applicable to EPA only} (ERAs)

 

 

 

 

 

 

 

 

 

 

Advice for completing Form 2
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