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Owners Consent - Signed
Individual owner’s consent for making a development application under
the Planning Act 2016
I, Scott Derek Passey
[Insert full name.]
as owner of the premises identified as follows:
297 Lawnville Rd Black Mountain
consent to the making of a development application under the Planning Act 2016 by:
Project BA
on the premises described above for:
MCU Application
14.12.2020
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
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