Copy Response to DERM's information request from applicant - REC11/0145

I
                                                                                    A FOLDED OR MUTlLA TED PLAN WILL NOT BE ACCEPTED
    ,

                                   WARNING         PLAN MA Y BE ROLLED          -




                                                                                                                                          -




                                                                                                                                          Add tlon",1 Plan A
                                                         of                         certifies   Previous Title                            CUn’1ent Nu1ing.
         Council of the
                                                                                                                                          Refer 10 (CISP
         that all the requirements of this Council, the Local Government Acts and all By-

         Laws have been complied with and approves this Plan of Subdivision




                                 Dated this                   day of                  19

                                                                                  Mayor or
                                                                                 Chairman
o
                                                                                  Town or
Z
                                                                                Shire Clerk




                                                                                                                                                                                         co
         I/We
                                                                                                                                                                                         W
                                                                                                                                                                                         to
                                                                                                                                                                                         .......
                                              (Names in full)                                                                                                                            CO
                                                                                                                                                                                         CO
         .
           as    Proprietorls of this land.
         .
           as Lesseels of    Miner’s Homestead

         agree to this plan and dedicate the new road as shown hereon to public use.




         Signature of      .
                             Proprietorls     Lesseels
                                              .




         . Rule out which is inapplicable.




                                                                                                This survey has been examined and may be used for land dealings.



                                                                                                                                                    1~’14     .;-""   Surveyor General
                                                                                                                                                              Date /
                                                                                                                                                                      -
                                                                                                                                                                          Oc f-/9,Z

                                                                                                                         Fo!.       Lot     Vol.    FOI.      Lot         Vot.    Fal.
                                                                                                 .
                                                                                                     lot    Vol.




                                                                                                 Lodged by                                                     Received
                                                                                                                                                           Registrar of Titles




                                                                                                               Fees Payable

                                                                                                             Postal fee and postage
co
CO
                                                                                                              Logt. Exam. & Ass.
....-I
01                                                                                                                    New Title
("")
CO
                                                                                                                   Entd. on Deeds


                                                                                                                     Photo Fee
          File    Ref.
                                                   Particulars entered in Register Book
                                                                                                                        Tota’
          Deposited          1    1               Vol.                  Folio

          Audited        2//8192 ;;1;1.v_                                                                          Short Fees Paid


          Passed         .301313~
          Survey Records: File/Field Notes
          Charted            I 1
                                                                           at
          Original Grant




                                                              REGISTRAR OF TITLES                                                                                                 lt;1
                                                                                                                                                   PLAN 839188