owners consent 1 · MCU26/0099

on the premises described above for:

 

[insert details of the proposed development, e.g. material change of use for four-storey apartment building]
Marerial\ chan ge of use Yo establish @ Dvel\ing House,

 

 

 

 

 

 

 

 

 

 

 

 

Company seal /if used)

Company Nemeand Qn: covcisicwcmesnninnsmnsieanni mina rnRnNERhS ONT IAERRNINNNNIENOERIG ERY
Rodelle Pha Lid seca A dS DIB Ecce
bSsLLal \o& Signature of le PAR servo
—— iblelarala.......
Date

[Delete the above where company owner's consent must come from both director and director/secretary.|
Company Name and ACN: ....... “YZ ss sa RATA NSA EATS NRT TERT RT HART AG NTU 9 AGETRRUN penn Ra ng
Signature of Director| i i(ititit*t*~™”S sells of on
volley arale, womneneadelwolaaal....
Date Date

[Delete the above where there is a sole director/secretary for the company giving the owner’s consent.]

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Applicant template 11.0
Version 1.0—3 July 2017