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1730SignedConsentForm
We, Kate Elizabeth Mayne and Kent Leslie Mayne as owner of the premises identified as follows: 13 Rectory Street, Pomona — Lots 11 & 12 on RP43995 consent to the making of a development application under the Planning Act 2016 by: Max Watterson & Associates on the premises described above for: Reconfiguration of a Lot — 2 Lots into 2 Lots \Sloe|20a4 [signature of owner and v am ip /) ) date signed] Applicant template 10.0 Version 1.0—3 July 2017
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