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Owners consent
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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