SP116879.tif · RAL26/0015

 

 

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703707441

$305 .00
19/11/1999 16:45

Registered

NR 400 NT

 

s. Lodged by
Aeliuner Pii0e yay,

Ab Svante MT Riviere
Jsy Wd SL o

(Include address, phone number, reference, and Lodger Code)

low”

 

 

1. Certificate of Registered Owners or Lessees.

We

   

 

(Names in full)

*as Registered Owners of this land agree to this plan and dedicate the Public Use
Land as shown hereon in accordance with Section 50 of the Land Title Act 1994.

 

 

 

 

 

 

 

 

 

 

 

 

 

%® Rule out whichever is inapplicable

 

2, Local Government Approval.
*  Councit of THE SHRE OF PooSA.

% khocAtk Governmerr (RAroINC, +
ENVIRONMENT) ACT

 

# Insert the name of the Local Government.
# Insert designation of signatory or delegation

% Insert integrated Planning Act 1997 or
Locat Government (Planning & Environment) Act 1990

 

 

 

 

 

    

 

 

 

 

 

3. Plans with Community Management Statement: | 4. References :

CMS Number : Dept File :
Local Govt :

Name: 5258
Surveyor:

 

 

6. Existing Created
Title Reference | Lot Plan Lots Emts Road
(8224169 78 | RP840223 78,80
2. Building Format Plans only.
78 78,80 ‘ ins y
I certify that :
79 78,80 * As far as it is practical to determine, no part
. of the building shown on this plan encroaches
Orig Lots onto adjoining lots or road;
: . . * Part of the building shown on this plan
7. Portion Allocation : encroaches onto adjoining * lots and road
s. Map Reference : re
9545-34331 rector . Date
* delete words not required
9. Locality : 13. Lodgement Fees :
Lake Cooroibah Survey Deposit So. teste
10. Local Government : Lodgement Boone
NOOSA SC J rv New Titles :
Photocapy Bee
11. Passed & Endorsed :
Postage $
La ceseasseenusestieneee
By: u TOTAL s
Date ~—
Signed : 14. Insert
ee Plan SP116879
Designation: ... Number

 

 

 

 

Copyright protects this plan. Unauthorised reproduction or amendment is not permitted. Contact the surveyor or Consutting Surveyors Queensland for information.