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Owners Consent · 132005.307.01

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To Suncoast Building Approvals

Phone: 07 5443 7288
Facsimile 07 5443 8816

e-mail: [email protected]

PO Box 1054
MAROOCHYDORE QLD 4558

23 Apr 2024

OWNERS CONSENT TO LODGING DEVELOPMENT
APPLICATION FORMS

PROPERTY DESCRIPTION:

Site Address:

, 30/512 David Low Way CASTAWAYS BEACH QLD 4567

Lot & Plan:

Lot 30 SP111721

To Whom It May Concern:

The registered owners of the above site consents to the applicant or the engaged private building certifier submitting any
development approvals including plumbing for the property as noted above in order to receive a permit to build on the said

property and have signed below.

It is also agreed by the owner to give authority for an agent from the engaged private certifier to lodge and sign any council
or state government forms necessary for submission for and on our behalf in order to obtain development approvals.

The owners also consent for water, sewerage and other utility providers to access the Property for connections and quotation
purposes.

REGISTERED OWNER‘S AS PER DEPT. NATURAL RESOURCES RECORDS

Name: MICHEL HOD ACT

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Signatures... 0nd Orie seccseesegpecsssessssesestevssesssescsvsvsavavsvsnsitavsvevavsisecevaveecene Registered Owner

Postal Address: ay > \2 “DAND Lo~ PY, PSOE BEA, —

 

NOTE: PLEASE USE BLOCK LETTERS WHEN COMPLETING THIS FORM

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