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QB1910553 - STG 1 19 Ind Units - Lot 13 (#64) - QB1910553 - MISC - Form 11 Final & Supporting Certificates - 26.11.2021 KW

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PSM Sketch 108352

 

7. Building certifier reference number and building development approval number

 

Building certifier’s name

 

 

 

 

 

 

(in full)

Building certifier reference Development approval

number number

8. Details of appointed competent person

Name (in full) Skyline Surveyors

Company name (if applicable) Skyline Surveyors Pty Ltd

Contact person Corey James

Business phone number 07 5493 4877 Mobile 0408 713 913

 

Email address [email protected]

 

Postal address 11¢/69 Attenuata Drive

 

Suburb/locality

Mountain Creek

 

 

 

 

 

 

State QLD Postcode 4557
Licence class or registration .
type (if applicable) Consulting Cadastral Surveyor
Licence class or registration 5758
number (if applicable)
Date request to inspect received 7
from building certifier Click or tap to enter a date.
9. Signature of appointed competent person
Se
Signature Shas Date 13/10/2021

 

LOCAL GOVERNMENT USE ONLY

 

Date received Click or tap to enter a date. Reference number/s

 

Appendix — explanatory information

 

Building Regulation 2021 + Sections 74 and 77 » Form 12 « Version 1 * September 2021

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