09/1065 - Prescribed Tidal Works - Transport Type 5 - Domestic Marine [As Published] · 142009.1065

Individual Owner's consent to the making of
an IDAS development application

I, SANDY Guy tr ie (insert name in
ful), as

 

owner of premises identified as follows
Va DOP cnescenT NOOAVICLE _ fison

‘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 Integrated
Planning Act 1997 by

MICHREL & JANDY GuUTHIE

applicant)

(insert name of

 

on the premises described above for the purposes of

CON SMUCTING A GAT reAMP
{insert details of the proposed development, eg material change of use for 3 storey apartment
building)

MhMYyu LL AAA (signature of owner)

Signed on the_ 2) WW. day of Moz , 2006
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