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06/1015 - Change to Existing Approval - Ext of Currency [As Published] · 142006.1015.03
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Company Owner's consent to the making of
an IDAS development application
I, STEW pra Gow {insert name In fui,
Director, AND
I, An DRO Reston (insert name in full),
ComPany Ss C tne tez7 . (insert Company position
in full - Le. another director, or a company secretary - strike out above name and compeny position if not epplicable, |e. for a
proprietary company that has a sole director who Is also the sole company secretary, only that director needs to complete the
owner's consent),
of Country Club Villages Pty Ltd (insert name of company)
owner of premises identified as follows
Lot 2 on SP4 620 i Z (insert street address; lot on plan description; or coordinates of the premises the subject of the
application)
consent to the making of a development application under the Integrated Planning
Act 1997 by
Country Club Villages Pty Ltd qnsert neme of eppiicant)
on the premises described above for the purposes of
est to lod 10) {insert detalls of the
proposed development, eg material change of use for 3 storey apartment building)
AZ Cee Seca |
(signature of Director)
Signed on the oS” day of___ Seer. , 2009.
AL Me (signature of Birector/ Company Secretary)
Signed on the dayof_ SerT , 2009.
Company seal rusea)
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