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20200466 - PBCQ Owners Consent Form Signed & Dated - Received 11-2-2020.pdf
-J OWNERS CONSENT Privacy Act 1988, Information Privacy Act 2009, the Planning Act 2009 ee and the Building Act 1975 P ACI F Ic. BC Q_ BUILDING CERTIFICATION QUEENSLAND Dear Sir/Madam: Pursuant to the Privacy Act 1988, the Information Privacy Act 2009, the Planning Act 2017 and the Local Government Act 2009, I/We being the Registered Owners of the property located at: Address: LITTLE COVE COURT - 8/ 2 PANDANUS STREET NOOSA HEADS 4567 Lot & Plan Number: LOT 8 BUP 5386 Local Government Area: NOOSA COUNCIL Ownership Name/s (Individual Persons, Company and or Family Trust Details (Include ACN where applicable): DOUGLAS ALBERT HINCKFUSS Consent to Pacific BCQ: (1) Acting on my/our behalf in making all requisite Development Applications (Inc. Demolitions), Preliminary Applications, Concurrence Agency Applications, Plumbing Applications and/or Local Law Applications in relation to abovementioned property and premises ; (2) Obtaining all requisite property information and/or records inclusive of details and copies of Approvals, Decision Notices, Permits, Plans, Specifications, Requisitions and/or Enforcement Action details in relation to the abovementioned property and premises; (3) Entering the property at all reasonable times during business hours for the purposes of inspections; and (4) Representing our interests in matters of Appeal to the Building and Development Dispute Resolution Committees where required. Yours faithfully Name* Designation* Signature Date (Please print) (Director, Secretary etc. — if applicable) Pal ss DOUGLAS ALBERT HINCKFUSS (fff No 2 X22 Xn YY T If there are multiple individual owners of the land the signature of each owner is required. + Acompany owns the land consent without the use of a common seal by the signatures of (a) 2 directors of the company; or (b) a director and a company secretary of the company; or (c) for a proprietary company that has a sole director who is also the sole company secretary—that director. 4 Commercial Building Approvals | BCA Consultancy Services | Regulatory Developm ent Co-ord; Mation astic av Domest! abn. 28 166 025 429 @® 5412 1520 | © 5412 1522 | © [email protected] | @ www pacificbeq.com.au Unit 2/11 Project Avenue, Noosaville. Qld 4566 | PO Box 1901, Noosaville BC, Qld 4566
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