BA230788 - 178 Cooroy Mountain Road Cooroy QLD 4563 - PR230750 - Signed Owner Consent

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mys) certifiers

 

 

I G22 aor ~ awe on7T7 a

Unsert full name/s.|

as owner/s of the premises identified as follows:

 

478 Cooroy Mountain Road, Cooroy QLD 4563
Lot 10 SP307383

 

 

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

 

 

JDBA Certifiers

 

 

on the premises described above for:

| New Dwelling Class 1a (after demolition of existing structure on site) |

5 [(RupreoT isignature of owner/s and

date signed]

Pee wae ae 3S)

 

Applicant template 10.0
Version 1.0—3 July 2017