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OPW14/0239 - Prescribed Tidal Works Application - 7 Peza Court, Noosa Heads

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                                                                            11S6S




                                   TO WHOM IT MAY CONCERN


 AUTHORITY TO LODGE MARINE BERTHING APPLICATIONS



As the registered owner/s of the property described       below, I/we hereby authorise
Superior Jetties to lodge any applications associated with the required approvals for a
marine structure adjacent to the specified land and to make any required enquiries in
regard to such applications on my/our behalf.


Address of Property:


.. ?e.Zro...... L.QJ..l.r::,T ..... N.9g;h ..~~.JS..Post Code: ... 4;{;/.s:. ..
J.....
Lot Number:                        .    Plan Number:                                .




Registered Owners:


NAME IN FULL                                  SIGNATURE                  DATE


                                                                         ...........~....lie/IlL;.




Authority to Act. (Private) 2009

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