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09/0152 - MCU - Mulitple Housing Type 1 - Relative or Employee [As Published] · 132009.152
APPLICANT / OWNERS AUTHORITY | / we as owners / applicants agree to the lodgement of all necessary development applications on my / our behalf, and that Country & Coastal Certifiers is authorised to make amendments considered necessary to facilitate this process. | / we as owners / applicants hereby give our authority for an agent of Country & Coastal Certifiers to lodge and sign any council or state government forms necessary for submission for and on behalf of me / us Applicants Name: Address Signature Development Address: Owners Name: Signature Owners Name: Signature Gary Mitchell -— Oakview Constructions Pty Ltd Trading as Australian Independent Builders [ABN 53 082 004 760] PO Box 574 Nambour QLD 4560 1 Lake Flat Road, Boreen Point Lot 5 on SP 109944 Robert Leighton Hammersley Deborah Lee Hammersley Bion
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