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Owner's Consent (SCRC) - Development Application for Outdoor Dining MCU13/0069
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Table F—premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient space in this table.) Coordinates Zone Datum Local government (Note: place each set of coordinates in a separate row.) reference area (if applicable) Easting Northing Latitude Longitude L] epaga L] wese4 [1 other 3 (e.g. vacant land, house, apartment building, cane farm etc.) Park (recreation) and outdoor dining areas 6. Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non- mandatory requirement.) vy No CJ Yes—provide details below List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy) 7. ls owner’s consent required for this application? (Refer to notes at the end of this form for more information.) [-] No ra Yes—complete either Table G, Table H or Table | as applicable Table G Name of owner/s of the land Sunshine Coast Regional Council aS trustee, We, the above-mentioned owner/s of the land, consent to the making of this application. Signature of owner/s of the land Si kn igned by LATA”. Hows Delegated Officer forand on behal ofthe = (hr. / 2 Ae Date Sunshine Coast Regional Council Table H Name of owner/s of the land CI] The owner's written consent is attached or will be provided separately to the assessment manager Table | Name of owner/s of the land IDAS form 1A Vers ecember 2012
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