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Owners consent · 132004.4078.11

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I DENIG WALLACE (NoosA, CoUNCIL ~ PROPERTY ADVISOR)

[Insert full name.]

 

 

as owner of the premises identified as follows:

 

[Insert street address, lot on plan description or coordinates of the premises the subject of the

: lication.]
CG) HAsTINas «57 NoosA Heme —

 

-consent to the making of a development application under the Planning Act 2016 by:

 

[Insert name of applicant.]

Nos Keats SLAF LIPC SMinG UK

 

on the premises described above for:

 

[Insert details of the proposed development, e.g. material change of use for four storey apartment
building.]

CHAN AE To The DV Le fy menT APP Ro AL (Acoustic con Oitov5)

 

 

 

PAI

[signature of owner and

date signed]

 

 

The Planning Act 2016 is administered by the Department of Local Government, Infrastructure and Planning, Queensland

Government.

 

Applicant template 10.0
Version 1.0—3 July 2017

Used in these records

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