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MCU14/0106 Appendix M - CT, Survey Plan, Easements and Covenants
Plans and drawings
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WARNING : Folded or Mutilated Plans will not be accepted.
Plans may be rolled.
Information may not be placed in the outer margins.
Registered
(Dealing No.)
5. Lodged by
(include address, phone number, reference, and Lodger Code)
1. Certificate of Registered Owners or Lessees.
L/WO eo ccccececs cece ne sete ees cet setts cceseeeteesceecsetesceeseeeescesvssteescssteessteesetteiettneesiseees .
(Names in full)
* as Registered Owners of this land agree to this plan and dedicate the Public Use
Land as shown hereon in accordance with Section 50 of the Land Title Act 1994.
* as Lessees of this land agree to this plan.
Signature of *Registered Owners *Lessees
#* Rule out whichever is inapplicable
2.Local Government Approval.
*
hereby approves this plan in accordance with the:
%
Dated this... ect eiee day of
#
eS EP eer ere ee eee e reer eer rere rarer rr errr ess #
* Insert the name of the Local Government.
# Insert designation of signatory or delegation
% Insert Integrated Planning Act 1997 or
Local Government (Planning & Environment) Act 1990
3.Plans with Community Management Statement: | 4.References:
CMS Number : Dept File:
Local Govt:
“ome: Surveyor: 01877401
6. Existing Created
Title Reference] Lot Plan Lots Emits Road
2 SP 182880 M &N —_
2. Building Format Plans only.
I certify that:
* As far as it is practical to determifie, no part
. of the building shown on this pkin encroaches
Lots Orig oe
onto adjoining lots or roagy
: wo, * Part of the building-shown on this plan
7. Portion Allocation : encroaches onto edjoining * lots and road
a. Map Reference: cece Ls veesttesepeeseistee ge tunsternscevcen
9545-3342] Cadgstral Surveyor /Director™ Date
delete words not required
9. Locality: 13, Lodgement Fees :
NOOSAVILLE Survey Deposit Boe
io. Local Government : Lodgement Boe
NOOSAS.C. 0 vee New Titles $e.
Photocopy Bocce
i. Passed & Endorsed :
Postage Bonen
By: BENNETT AND FRANCIS PTY LTD TOTAL $
Dates (ZU tts
Signed / {PA 14, Insert
~ Pl
DeSignetion : Cadastral Surveyor /Director Number SP192396
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