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Office Use Only APPLICATION TO MODIFY or EXTEND A DEVELOPMENT CONSENT DA No. Environmental Planning and Assessment Act 1979 and Local Government Act 1993 Total Fees: Receipt No: Date Received: To

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1 applicant details 3 refers to the specific information and data required for a particular applicant in a certain application or form.

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The individual or organization submitting the application or form is required to file 1 applicant details 3.

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