Material Change of Use

Company owner’s consent to the making of a development application
under the Sustainable Planning Act 2009

l, Stephen Price finsert name in full]
Director of the below mentioned company

of __Department of National Parks, Sport and Racing
[insert name of company]

as owner of premises identified as follows:

Lot 1 on AP19201, Tuchekoi National Park

 

[insert street address, lot on plan description, or coordinates of the premises the subject of the application]
consent to the making of a development application under the Sustainable Planning Act 2009 by

Men's Shed Pomona (Auspiced by Pomona & District Community House Inc.)
[insert name of applicant]

 

on the premises described above for the purposes of

Material change of use for an extension to the existing shed facility

 

[insert details of the proposed development e.g. material change of use for three storey apartment building]

ALD :
a, Oe ee. [signature of Director]

a”
signed on the Fees day of July 20 Rot S

Company seal [if used]

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning, Queensland Government.

 

PP2_0034_43 (A) Version#1 10.12.09