08/1927 - MCU - Detached House - Part 1 [As Published] · 132008.1927

To Suncoast Building Approvals

Phone: 07 5443 7288

Facsimile 07 5443 8816

e-mail: [email protected]

PO Box 1054
MAROOCHYDORE QLD 4558

PROPERTY DESCRIPTION:

Site Address: Grosvenor Terrace, Noosa Heads Qld 4567

Lot No: 23 Plan No: SP 188268

To Whom It May Concern:

The registered owners of the above site consents to the applicant or the engaged private building certifier submitting any
development approvals including plumbing for the property as noted above in order to receive a permit to build on the
said property and have signed below.

It is also agreed by the owner to give authority for an agent from the engaged private certifier to lodge and sign any
council or state government forms necessary for submission for and on our behalf in order to obtain develdépment
approvals.

REGISTERED OWNER‘SS AS PER DEPT. NATURAL RESOURCES RECORDS

Name: Sylvana Scannapiego +

PAAR RARE ese Owner

  

Registered Owner _— Signatur

 

Postal Address: t/30 Katharina St, Noosa Heads QLD 4567

BUILDER / APPLICANT DETAILS:

   

Name; Ausmar Homes Pty Ltd Signature: ......0....6. BT eee ceeeeeee een eeens

Postal Address: PO Box 418 Cooroy Qld 4563

NOTE: PLEASE USE BLOCK LETTERS WHEN COMPLETING THIS FORM