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Development Application part 1 of 2 IDAS FORMS 1 & 5 & COVER LETTER MCU12/0201

of 10

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                                                                                         --.........,-


f~ I~dividual ow~er’s c~nsent to the -maki~g of a
                                                                                                          Act 2009
t~~_~~~o~.~_ent a~p~~~~.~~~_~~_th~ .~u_staina~/~ ~/~~~ing

 I,
           ~,<J~~.                                                                                            [insert name in full]



 as owner of    premises identified as follows


       I~
        -;;;1
              ",.A",_.,
              ~~
                        Jh".~ -H C
                        ~ l~
                                                      ~A
                                                  J./C’\.h ~
                                                                   It-.A.l"\ r
                                                                   ("ft:......-v:>.
                                                                                         /
                                                                                         l
                                                                                          l,..’J..,.’"
                                                                                                  ...,.   ~/ff&2. )
                                                I
 [insert street address, lot on plan description,ror coordinates of the premises the subject of the application]



 consent to the making of a development application under the Sustainable Planning Act 2009 by



 Noosa Building Certifiers
\
 on the    premises described above for the purposes of:


      m l-vt      /lJ trt-"      ’(’{)1e1 ~E
 [insert det is f(f the proposed development, e.g. material change of use for three storey apartment building]



                                                                                                               [signature of owner]




 signed on the
                                        b                       day of
                                                                                      I~                           20   I~      .




 The Sustainable Planninq Act 2009 is administered by the Department of Infrastructure and Planning, Queensland Government


                                                                                                    PP2_0034_43 (9)Version#1 10 12.09

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