St Baker - Signed & dated owner's consent - jetty MCU-signed · MCU22/0007

on the premises described above for:


                       A new pontoon system replacing the existing pontoon

 Company seal [if used]


 Company Name and ACN: ………………………………………………………………………………………………
                              Noosa Council

                                                                        ……………………………………………
                                                                         Signature of Sole Director/Secretary


                                                                            20/1/22
                                                                        ……………………………………………
                                                                                       Date


[Delete the above where company owner’s consent must come from both director and director/secretary.]

 Company Name and ACN: ………………………………………………………………………………………………


                ……………………………………………                                       ……………………………………………
                        Signature of Director                              Signature of Director/Secretary


                           ………………………………                                 ……………………………………………
                                     Date                                              Date


 [Delete the above where there is a sole director/secretary for the company giving the owner’s consent.]




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                                                                                                 Applicant template 11.0
                                                                                                Version 1.0—3 July 2017