2020-01-13 General Committee Agenda

GENERAL COMMITTEE MEETING AGENDA   13 JANUARY 2020




                                     Page 22 of 172

GENERAL COMMITTEE MEETING AGENDA                                                                                                   13 JANUARY 2020

               POLICY GUIDELINE -— Private Land Conservation Partnerships
               d           1ix 2   Bindi        Cc          te          |

                      QUEENSLAND TITLES REGISTRY                      COVENANT                                      FORM 34 Version 3
                      Land Titfe Act 1994 and Land Act 1994                                                           Page lof
                    Ie                       Dealing Nurnber                  Lodger (Name, address, E-mai & phone number} Lodger    |
                       MUNA AINMM! OF FICE USE ONLY                                                                    ee
                      Privacy Statement
                       Cafection of information from this form is authortsed by legistatian and is
                       used to mantain publicly searchable records. For more information see
                       the Department's website.
                        1.  Covenantor

                        2.  Description of Covenant / Lot on Plan                                               Title Reference

                        3.  Covenantee

                       4. Description of Covenant linckide reference to mlevant section of legislation)

                        5.  Execution
                        The Covenantor being the registered owner of the lot described in fem 2 covenants with the Covenantee in reapect of the covenant
                       descnbed in fem 4 and:-

                                  Witnessing officer must be aware of his/her obligations under section 162 of the Land Title Act 1994

                      Witnessing Officer                                      Execution Date                   Covenantor's Signature
                       {Witnessing officer must be in accordance with Schedule 1
                       of Land Title Act 1994 eg Legal Practitioner, JP. C Dec)

                      Witnessing Officer                                      Execution Date                   Covenantee's Signature
                       (Witnessing officer must be im accordance with Schedule 1
                       of Land Title Act 1994 eg Legat Practitioner, JP, C Dec)

                                                                                                                                           Page 9

                                                                                                                                         Page 22 of 172