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Signed Permission Lot 80
Individual owner’s consent for making a development application under
the Planning Act 2016
‘up 3 Memes J Cunshbu J MeTIS
[Insert full name.]
as owner of the premises identified as follows:
{Insert street address lot on plan description or coordinates of the premises the subject
C4 Aen curs TE LIANE ap}
Lot 80, Lancaster Lane, Cooroibah Qld 4565
consent to the making of a development application under the Planning Act 2016 by:
[insert name of applicant.
Craig G Devitt & Averil E Scott
on the premises described above for:
[Insert details of the proposed development, e.g. material change of use for four storey apartment
building. |
Extension of an Easement EMT E
. } .
led CALS 24 | [si
<— WuUS\MOWIS 4 1812
Applicant template 10.0
Version 1.0—3 July 2017
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