4895SignedConsentForm

 

 

 

We,

Maxwill Neville Richardson & Kevin Richard Richardson (Personal Representative Under Instrument
719348845); and

Kevin Richard Richardson

 

 

 

as owner of the premises identified as follows:

 

551, 563 & 571 Cooroy Belli Creek Road, RIDGEWOOD - Lot 429 on MCH481, Lot 49 on MCH1168 and Lot
158 on MCH1321

 

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 Lots (3 Lots into 3 Lots)

 

 

. one /
(signature of owners and
date signed]

4h We heebo-— do/7faore

 

 

 

Applicant template 10.0
Version 1.0—3 July 2017