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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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