Owners Consent Form Completed Signed

 

 

 

OWNERS CONSENT
Privacy Act 1988, Information Privacy Act 2009, the Planning Act 2009

and the Building Act 1975 PACI Fl CB C Q.
BUILDING CERTIFICATION QUEENSLAND
Dear Sir/Madam:

Pursuant to the Privacy Act 1988, the Information Privacy Act 2009, the Planning Act 2017 and the Local Government Act
2009, I/We being the Registered Owners of the property located at:

 

 

 

Address:

 

2/54 PARK ROAD NOOSA HEADS 4567

 

 

Lot & Plan Number:

 

LOT 2 BUP 6736

 

Local Government Area:

 

NOOSA COUNCIL

 

Ownership Name/s (Individual Persons, Company and or Family Trust Details (Include ACN where applicable):

 

Cae 4MISNY O44 Uf0 & Tausree Foe WAC STAEOE SEcuRiw: Test

 

 

 

Aew ey O£23 505.

 

Consent to Pacific BCQ:

(1) Acting on my/our behalf in making all requisite Development Applications (Inc. Demolitions), Preliminary
Applications, Concurrence Agency Applications, Plumbing Applications and/or Local Law Applications in relation
to abovementioned property and premises ;

(2) Obtaining all requisite property information and/or records inclusive of details and copies of Approvals, Decision
Notices, Permits, Plans, Specifications, Requisitions and/or Enforcement Action details in relation to the
abovementioned property and premises;

(3) Entering the property at all reasonable times during business hours for the purposes of inspections; and

(4) Representing our interests in matters of Appeal to the Building and Development Dispute Resolution Committees
where required.

Yours faithfully

 

Namet* Designation* Signature Date

(Please print) (Director, Secretary etc. —
if applicable)

OWNER VWs / Ji-u 22
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Woe ve

 

 

 

eae iw ee OWNER i
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[ay Sa

 

 

 

 

 

 

 

+ If there are multiple individual owners of the land the signature of each owner is required.

$A company owns the land consent without the use of a common seal by the signatures of (a) 2 directors of the company;
or (b) a director and a company secretary of the company; or (c) for a proprietary company that has a sole director who is
also the sole company secretary—that director.

ng Approvals | BCA Consultancy Services |

‘ldi Regulatory
; 1 Commercial Buildi ~s Hatory Development Cc .
Domestic and | . oe °-ordinagj
abn. 28 166 025 429 eee

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Unit 2/11 Project Avenue, Noosaville, Qld 4566 | PO Box 1901, Noosaville BC, Qld 4566