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Appendix G - Owner_s Consent
Individual owner’s consent for making a development application under the Planning Act 2016 |, Audrey Beth Butler as owner of the premises identified as follows: 220 Black Mountain Range Road, Black Mountain described as Lot 3 on SP258991 consent to the making of a development application under the Planning Act 2016 by: Threedom Nominees Pty Ltd C/- Brennan Planning Pty Ltd on the premises described above for: Development Application to Reconfigure a Lot (1 Lot into 5 Lots) f Jd th Lb tte [signature of owner and 16- b- 2 oA fete signed] Applicant template 10.0 Version 1.0—3 July 2017
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