DP315582

 

Land Title Act 1994; Land Act 1994

WARNING : Folded or Mutilated Plans will not be accepted. S 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 21B Version 2
Plans may be rolled.
Information may not be placed in the outer margins.
4. Lodged by
(Dealing No.)
(Include address, phone number, email, reference, and Lodger Code)
L Existing Created
Refit ece Description New Lots Road | Secondary Interests
50178056 Lot 779 on RP910420 780
50178057 Lot 780 on RP910420 780 _—
6. Building Format Plans only.
I certify that :
%® As far as it is practical to dete e, no part
of the building shown on this encroaches
onto adjoining lots or r
* Part of the building-<fown on this plan
encroaches ontg 4d joining * lots and road
Cadadtrai Surveyor /Director* ‘Date
‘delete words not required
7. Lodgement Fees:
780 POR 31 Survey Deposit $e.
Lodgement Soo.
Lots Orig ree New Titles Bo.
; , Photoco} $
2. Orig Grant Allocation : s. Passed & Endorsed : PY errr
Postage $
3. References : By: David Harvey LAU TOTAL $
Dept File : Date: LO desteseeeeeeeaees
Local Govt : Signed « 8 Insert
Surveyor : 20219 Designation : Liaison Officer Number SP315582