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Development Application Part 1 of 2 - Cover letter IDAS form 1 & 6 Owners consent & Confirmation of Insurance 7 Banksia Avenue Noosa Heads · OPW10/2120

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     OWNERS CONSENT TO LODGING DEVELOPMENT
               APPLICATION FORMS
PROPERTY DESCRIPTION:

Site Address:     Banksia Ave Noosa Heads Qld 4567
Lot No:           11
Ptan No:          SP 188268

To Whom It May Concern:

The registered owners of the above site consents to the applicant or the engaged private building certifier submitting any
development approvals including plumbing for the property as noted above in order to receive a permit to build on the
said property and have signed below.

It is also agreed by the owner to give authority for an agent from the engaged private certifier to lodge and sign any
council or state government forms necessary for submission for and on our behalf in order to obtain development
approvals.

REGISTERED OWNER./S AS PER DEPT. NATURAL RESOURCES RECORDS

Name             ," Qeorgius                                      Name                 Jeanne Ileidi Georgius



Signature         1.'. ^X\ .....................                  Signature
                                wner



Postal Address:
PO Box 2410
NOOSA I-LEADS QLD 4567

BUILDER / APPLICANT DL TAILS:

Name:
Ausmar Homes Pty Ltd                                     Signature: ....................................................

Postal Address:
PO Box 418
COOROY QLD 4563

                 NOTE: PLEASE USE BLOCK LETTERS WIZEN COMPLETING THIS FORM

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