Property Owners Consent - 6 Piper Street, Peregian Beach · MCU11/0033

OO

 

Table C—premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel

dredging in Moreton Bay)

 

Coordinates
(note: place each set of coordinates in a separate row)

 

Easting Northing Latitude Longitude

Zone
reference

Datum

Local government
area (if applicable)

 

 

 

 

 

 

[-] Gpagg
[-] wese,
| other

 

 

 

5, Total area of the premises on which the development Is proposed (indicate hectares or m*)

 

 

 

 

6, Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)

 

 

 

 

7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)

 

 

 

 

 

8, Is owner’s consent required for this application? (refer to notes at the end of this form for more information)

 

[_] No

Yes—complete either table D, table E or table F as applicable

 

Table D

 

Name of owner/s of the land

Kieet- CLIARLES 4BINSoN]

 

1/We, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land \ k [ Af W We tas
= alae ——

 

 

Date

 

 

 

Application details—IDAS form 1
Version 1.0 18 December 2009