Appendix B - Land Owner's Consent

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



I, Brett Edwin Hage                                                                                         [insert name in full]



as owner of premises identified as follows


96 Black Mountain Range Rd, Black Mountain QLD 4563 (Lot 3 on RP131369)
[insert street address, lot on plan description, or coordinates of the premises the subject of the application]


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

CadCon Surveying & Town Planning                                                                       [insert name of applicant]

on the premises described above for the purposes of:


Reconfiguration of a Lot (1 into 2 Lots)
[insert details of the proposed development, e.g. material change of use for three storey apartment building]



                                                                                                            [signature of owner]




signed on the                   15                             day of         July                                2022




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