2.0 Owners Consent

 Individual owner’s consent for making a development application under
 the Planning Act 2016



 I, Jennifer Maree Rogalsky



 as owner of the premises identified as follows:



 142 Playfords Road Kin Kin, QLD 4571 on Lot 186 MCH224



consent to the making of a development application under the Planning Act 2016 by:

 Building Suncoast Green


on the premises described above for:

 Building Work – Requiring Code Assessment to construct a Dwelling House (Inclusive of Secondary
 Dwelling and Shed)




                                                                                                 [signature of owner and
                                                                                                              date signed]




 The Planning Act 2016 is administered by the Department of Local Government, Infrastructure and Planning, Queensland
 Government.


                                                                                                         Applicant template 10.0
                                                                                                        Version 1.0—3 July 2017