Request to change & cancel conditions 132003.221132.8

       To change the development                 o    To change the development                    To extend the relevant period
       approval                                       conditions                                   before lapsing

Please attach documentation outlining the detail of and the reasons and justification for the requested change or
extension.




Was there one or more concurrence agencies involved in the original approval?

                                                                                                  D Yes-provide details below

Note   -
           Under s372 of the Sustainable Planning Act 2009 the person making the request is required to give a copy of this request to all
concurrence     agencies.
                                                                                                                                             .
                                                          .
                                                                                                                                             <

Concurrence Agency.                                                                              I Date copy given
                                                                .

                                                   ’.




6. Pre-reques

       a   pre-request response been given by a relevant entity (e.g. a concurrence agency)for this request?
~J   No    --It..!   ~~~-                                           DYes

If yes, please attach a copy of the notice.




                                                                               complete either Table A or Table B below




Table A     -
               owner’s consent provided on form
                                                                                                   u,1~,r2...
Owner’s name/s


I/We, the above-mentioned owner/s of the land, consent
to the making of this request.


                                                                              The owner’s written consent is attached.
Signature/s




2 of 4      2011/12 Regional Strategy and Planning Request to Change Existing Approval and/or Extension to Relevant Period FM401