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Owners consent

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Individual owner’s consent for making a development application under
the Planning Act 2016

 

 

 

 

| DENIS WALLACE
(PRoreer Advisog & DELEGATED oFFiceR)

[/nsert full name.}

 

as owner of the premises identified as follows:

 

[Insert street address, lot on plan description or coordinates of the premises the subject of the

b CrverawetNn Cr, Sonshine BEA application.)
(Lot | S$°208258))

consent to the making of a development application under the Planning Act 2016 by:

 

 

Noosa Coun CAL [Insert name of applicant.

 

on the premises described above for:

 

[Insert details of the proposed development, e.g. material change of use for four storey apartment
MATERIAL CHANGE OF _USE FORK. building.]
SKATE PARK SHADE STRUCTURE

é/ 2 | — [signature of owner and

2] 5|21 te ig

 

 

 

 

 

The Planning Act 2076 is administered by the Department of Local Government, Infrastructure and Planning, Queensland

Government.

 

Applicant template 10.0
Version 1.0—3 July 2017

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