07/1836 - MCU - Detached House [As Published] · 132007.1836

 

 

 

We agree to the lodgement of this Development Application on our behalf, and that the choosen Certifier's
are authorised to make amendments considered necessary. .

We hereby give our authority for an agent of the ccrtifier to lodge and sign any council or state. government forms
necessary for submission for and on behalf of us. 3
We as owner/applicants hereby give our authority for an agent of the certifier to view and obtain Copies of )
plans and development applications/approvals relating to the development site.:

Applicants Name: - Clarendon Homes (Qid) Pty Ltd
* 3440 Pacific Highway
Springwood Q 4127

Owners Name: Bruce William & Zelma WALLACE
Address: PO Box 1735, Noosa Heads QLD 4567
Development Address
Lot No: 768 RP/SP 908245

ille QLD 4566

’ Street/Suburb: Shorehaven Dri

    

Dated 0

. Applicants Signature:
For Clarendon Homes (Qld) Pty Ltd

Owners Signature: EID Dated BO ro o7 \

REDIANSEE duet so-0x'e \

 

  

co ”
IMPORTANT i. ;
Please provide FULL Names of Registered Owners of the LAND (If, as above, Print "AS ABOVE? if OTHER please *

advise full details, in order for Plans to be lodged with the relevant council.
NAME OF OWNER AS IT APPEARED ON THE LAND CONTRACT .

As Acove _ ;
PLEASE COMPLETE DEVELOPERS DETAILS

NAME OF.DEVELOPER:-

 

IMPORTANT