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Biodiversity Overlay Review

of 92

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715597513 VO REGISTERED Recorded Date 12/02/2014 14:41 Page 1 of 8
a

a

QUEENSLAND LAND REGISTRY

Land Title Act 1994, Land Act 1994 and Water Act 2000

NO FEE
12/02/2014 14:41

ene

NR 608

GENERAL REQUEST

FORM 14 version 4

Page 1 of

7

 

1.

Nature of request

REQUEST TO REGISTER STANDARD TERMS
DOCUMENT.

Lodger (Name, address, E-mail & phone number) Lodger

Noosa Shire Council
PO Box 141
Tewantin, Q, 4565
Ph: 5329 6593

Code

 

 

 

 

 

2. Lot on Plan Description County Parish Title Reference
nla
3. Registered Proprietor/State Lessee
nia
4. Interest
nia
5. Applicant
NOOSA SHIRE COUNCIL
6. Request

| hereby request that: PURSUANT TO S169 OF THE LAND TITLE ACT 1994, THE ATTACHED STANDARD TERMS
DOCUMENT RELATING TO A COVENANT FOR THE PRESERVATION OF NATIVE PLANTS
UNDER $97(A)(3)(b)(i) OF THE LAND TITLE ACT 1994 BE REGISTERED FOR NOOSA SHIRE

COUNCIL.

 

7.

L

Execution by applicant

€ The State of Queensland (Dept of Natural Resources and Mines) 2014

f Do j2 1eory
Execution Date

Brett DeChastel CEO Neosa Shire Council

  

Applicant's or Solici
Note: A Solicitor is required to print full name if signing on behalf of the Applicant

=

 
 

 

rs

ignature
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