Development Application part 1 of 2 - Application forms MCU12/0066

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    To Suncoast Building Approvals
    Phone: 07 5443 7288
    Facsimile 07 5443 8816
    e-mail: [email protected]
    PO Box W54
    MAROOCHYDORE                 QLD         4558




               OWNERS CONSENT TO LODGING DEVELOPMENT
                                                   APPLICATION FORMS

    PROPERTY DESCRIPTION:


    SiteAddress:.....(q.~.....~~.~.~.......~.~P........ .~.0:’.~.....0!’!?t!.0.FY’::!.........
    LotNo...............................                     PlanNo.............................


    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 development approvals.

    REGISTERED OWNERlS AS PER DEPT.NATURAL RESOURCES RECORDS


    Name:...~.f?~~.....?..0r.~~.                                                    Name:.............................................


    Signature:.   gScp". .~...
                           ...
                                   .::-:-:   ........... Registered Owner
                                                        ..                         Signature:...    ..............................  Registered Owner
                                                                                                                                  ...




    Postal Address:.... .f.9....~.....$.":~.~......                         .
                                                                                                ~~~2..............................
                                                                                     !-:-t.......



    BUILDER / APPLICANT DETAILS:


    Name:...~.t?.~--v...f’..0.~y................... Signature: ...tC~~.................
    Postal   Address:....f....c:...~..~:..4!.....                     p..~.’1..........~.~........................................




                         NOTE: PLEASE USE BLOCK LETTERS WHEN COMPLETING TIDS FORM