Appendix B - Land Owners Consent

Compan o ne con en o he making of a de elopmen applica ion
under the Planning Act 2016


I,     Tim English                                                                                           [insert name in full]
Director of the below mentioned company and

I,                                                                                                           [insert name in full]




[insert position in full i.e. another director, or a company secretary. Delete the above name and company position if not
applicable, i.e. for a proprietary company that has a sole director who is also the sole company secretary, only that director
needs o com le e he o ne con en ]


of     TOTAL CONCEPT HOMES PTY LTD A.C.N. 099 275 877                                                  [insert name of company]

as owner of premises identified as follows:


108 Black Mountain Range Road, Black Mountain QLD 4563 (Lot 2 on RP131369)
[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 Planning Act 2016 by

CadCon Surveying & Town Planning                                                                       [insert name of applicant]

on the premises described above for the purposes of

Reconfiguration of a Lot (1 into 2 Lots) & Operational Works (Associated Civil Works)
[insert details of the proposed development e.g. material change of use for three storey apartment building]


                                                                                                           [signature of Director]


signed on the
                                   16                           day of        Decembe                             20   20
                                                                                 r
                                                                                      [signature of Director/company secretary]


signed on the                                                  day of                                             20



Company seal [if used]




The Planning Act 2016 is administered by the Department of Infrastructure, Local Government and Planning, Queensland
Government.