S95 request to extend consent - Ku-ring-gai Council

S95A EXTENSION OF TERM OF DEVELOPMENT
CONSENT
Section 95A, Environmental Planning and Assessment Act 1979
818 Pacific Highway, Gordon NSW 2072 | Locked Bag 1056, Pymble NSW 2073
T 02 9424 0000 F 02 9424 0001 DX 8703 Gordon TTY 133 677
E kmc@kmc.nsw.gov.au W www.kmc.nsw.gov.au ABN 86 408 856 411
About this form
Use this form to apply for an extension to the term of a valid consent.
Rules 1) You can only apply for this extension once.
2) Extensions are valid for 1 year, irrespective of the term originally granted.
3) You must lodge this form and pay the required fee prior to the lapsing of your consent.
4) You cannot get an extension to your consent if the consent was granted for 5 years.
Lodgement
Any questions?
Application and site details
1. Applicant
name,
address and
contact
details.
2. Development
Consent
details.
Refer to your
development consent.
You can either send this completed application form to Council by mail or come into our
Customer Service Centre and lodge it in person.
Phone Customer Services on (02) 9424 0000, or call in to Council.
Title: Mr Mrs Miss Ms Other .......................
Name: ………………........... ...........................................................................................
Surname
Given Names
Company name: ………………………………………………………………………………
ABN: ………………… .....................................................................................................
Postal address:...............................................................................................................
....................................................................................... Post code:...............................
Phone (B) (….)............................................ Fax (….)....................................................
Phone (H) (….) .......................................... Mobile phone ………………………………
E-mail ..................................................................................................................
DA Number:…………………………………. Date consent lapses……………………..…
Description of consent: ………………………………………............................................
……………………………………………………………………………………………...……
……………………………………………………………………………………………..........
........................................................................................................................................
3. Location and
title
description of
the property
This will help us to
correctly identify the
land. You must identify
the Lot and Plan
number
Unit, shop or suite:...........Street No:..............Street:.....................................................
Suburb: ...........................................................................................................................
Lot(s):.........................................................Section: .......................................................
Deposited plan(s):......................................Strata plan: ..................................................
Other:..............................................................................................................................
Obtain these details from rate notices, property deed or our property maps.

4. Reasons for
extension.
Please indicate
reasons why we should
grant an extension to
the term of your
consent.
Signatures
5. Owner’s
consent
Must be signed by the
owner of the land. If
more than one owner,
every owner must sign.
If the owner is a
company or owner’s
association, this form
must be signed in
accordance with s127
of the Corporations Act
2001. If the building is
a strata building, the
application must be
stamped with the strata
seal and signed by a
authorised authority
How to lodge this application
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…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
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As owner of the land to which this application relates, I consent to this application. I also
give consent for authorised Council officers to enter the land to carry out inspections for
the purpose of this development application.
⎮ Name: ……………………………………………Phone…………………………………...
Signature: …………………………………………………… Date: ____ / ____/ 20____
Address: ……………….……………………………………………………………………..
⎮ Name: ……………………………………………Phone…………………………………...
Signature: …………………………………………………… Date: ____ / ____/ 20____
Address: ……………….…………………………Phone…………………………………..
⎮ Name: ………………………………………………………………………………………..
Signature: …………………………………………………… Date: ____ / ____/ 20____
Address: ……………….……………………………………………………………………..
I am signing on behalf of the owner as the owner’s legal representative. The nature of
my legal authority (eg, power of attorney, executor, trustee, company director) is:
………. ......................................................................................... ……………………..
Documentary evidence is required to confirm your legal authority if you sign on behalf of the owner.
Lodge the application by either of the following methods:
Post: General Manager
Ku-ring-gai Council
Locked Bag 1056
PYMBLE NSW 2073
Courier or
personal
delivery:
Council Chambers
818 Pacific Highway
GORDON NSW 2072
Contacting Council:
Phone: (02) 9424 0000
Fax: (02) 9424 0001
TTY: 133 677
Email: kmc@kmc.nsw.gov.au
Web: www.kmc.nsw.gov.au
Hours:
Lodging a DA - Monday – Friday, 8:30am – 4.30pm
Duty Planning Officer – telephone or visit Monday, Tuesday and Thursday
9am-12pm & 2pm- 5pm.
Acknowledgement:
You will receive a receipt for the amount paid. Soon after lodgement, we will also
acknowledge lodgement of your application by providing you with its registered file
number and the name of the development assessment officer who will assess your
application.
Fees
Please contact Customer Services or refer to Council's
Fees and Charges on the website.
Payment methods
You may pay by cash, eftpos or cheque. Make cheques
payable to ‘Ku-ring-gai Council’. Please do not send
cash in the mail.
Transport and Parking
Bus or Rail: The Council is located within five minutes
walking distance from Gordon train
station. From the station, head west up
via St Johns Ave to the Pacific Highway.
Turn right and walk to the end of the block
along the Pacific Highway. Cross the
Pacific Highway at the lights and walk
right to Council Chambers.
Parking:
Short term customer parking spaces are
available on site. On-street parking in
nearby streets is also available.
Disability Access: Disability parking and a wheelchair
accessible ramp are located at the Radford Place
entrance to Council. A lift may be taken to the front
counter.