Land Owners Consent Form

Type text here
                               making of a Development Application under the




69 Eungella Drive, Black Mountain
Lot 9 on SP173780
Material Change of Use to establish a Dwelling House


I/We, Bree-Anna Elizabeth Jade Brunjes and Cesar Mark Mikolaitis as the owners of 69 Eungella
Drive, Black Mountain (Lot 9 on SP173780) provide consent for URBN Town Planning Pty Ltd to
make a Development Application on the premises, in accordance with the provisions contained
within the                  and all subordinate legislation.




____________________________________________
Bree-Anna Elizabeth Jade Brunjes (Signature)




___________________________________________
Cesar Mark Mikolaitis (Signature)




   10/7/2024
___________________________________________
Date