0015A4F2.001

;       INTEGRATED PLANNING ACT 1997                                                                                                                Part A, Version 2.4, 29 May 2006
               Land owner's consent (if applicable)             20.   Land owner's consent to the making of this application:
              Section 3.2.1(3} of the IPA prescribes that an                                                                                :                               Date      |
              soesion ml oi, obo sopra De                             |                   Name                        |                  Signature                | ate
              written consent of the land owner/s, if the application
              involves:
              {i} amaterial change of use;
             : (ii) reconfiguration of a lot;         :                        ’                                                            Wi
              {iii} work on jand betow high-water mark & noi within a  Le                     .                                                                                            3
                  canal as defined under the Coastal Protection and          SR      tt rP rr         SACL                        Ae                         fP ot
                  Management Act 1995;0r                                                                                             PDIP SY                       «         . 7: Oop
              iv) work on rail corridor land defined under the           .        LE                       G                Tf                                                             ‘
                  Transport infrastructure Act 1994.                   (i)           TE nd al ¢ wt                    C|                                               L,
              Section 3.8, 1(2)(a) of the IPA provides that                                                                                   iA                       if
              tandowner’s consentis of required for a mobite or
.             temporary ERA.                                                                                          :                                  ;                     -
              For more information refer to Guide 1.

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                                                                          PENNING                                                                    ]
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                                                                       (i)

                                                                        (ii)

    @               |                          |                        (v)               |

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