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MCU15/0017 - Development Application

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708346714 VO REGISTERED Recorded Date 07/01/2005 15:14 Page 1 of 4

QUEENSLAND LAND REGISTRY GENERAL REQUEST FORM 14 version 3

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Purpose of maintaining the publicly searchable registers in the land registry
and the water register

 

 

 

 

 

 

 

1. Nature of request Lodger (Name, address & phone number) Lodger
Request to Register Standard Terms Document for Easement Clayton Utz wae
q 9 Mu DX 128, Brisbane 232
Ph: 3292 7000
Ref: 12309/41509818
2. Lot on Plan Description County Parish Title Reference
Not Applicable
3. Registered Proprietor/State Lessee
Not Applicable
4. Interest
Fee Simple
5. Applicant
ENERGEX Limited ACN 078 849 055
6. Request
| hereby request that: pursuant to s168 of the Land Title Act 1994 the attached Standard Terms Document
containing easement conditions for ENERGEX Limited ACN 078 849 055 be registered.
7. Execution by applicant

Execution Date Applicant's-or Solicitor's Signature

911,05

 

“Mark Robert Mackay
Note: A Solicitor is required to print full name if signing on behalf of the Applicant

| BNEWORKDOCS\ 230911 532021 1 |

€ The State of Queensland (Environment and Resource Management) 2012
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