Owners Consent

Docusign Envelope ID: AD833064-9603-4FA3-BAE2-634956AFB705




         To Suncoast Building Approvals
         Phone: 07 5443 7288
         Facsimile 07 5443 8816
         e-mail: [email protected]
         PO Box 1054
         MAROOCHYDORE QLD 4558

         17 Dec 2025


                OWNERS CONSENT TO LODGING DEVELOPMENT
                          APPLICATION FORMS
         PROPERTY DESCRIPTION:

         Site Address:
         , 320 Black Mountain Road BLACK MOUNTAIN QLD 4563


         Lot & Plan:
         Lot 2 RP179073

         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: Wayne Anthony Page                               Paul Anthony Watts



         Signature:……….…………………………………………………………………………...Registered Owner


                              1/52 Beeston Street, Teneriffe QLD 4005
         Postal Address:……………………………………………………………………………………………………




                           NOTE: PLEASE USE BLOCK LETTERS WHEN COMPLETING THIS FORM