Owner's Consent to Lodge - MCU

EarthCert®

PO Box 432, Pomona QLD 4568 * Ph 07 3063 9391 * [email protected] * ABN: 49 162 782 014
|

: NSENT T DGE

I/We, \n A u 40 Marama , owner/s of

LAG O ork \Weadecses {loach \ , give EarthCert Pty Ltd
Lulke MacDonald

permission to lodge the MCU application for the proposed building work at the above

address on my behalf.

Signed 5 J a

Name: \ade u BAME
Date: ZIA(ZA4