Appendix B - Survey Plan & SmartMap · RAL22/0012

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715464251

$477.80
@3/12/2013 11:52

NR 400 NT

WARNING : Folded or Mutilated Plans will not be accepted.
Plans may be rolled.
Information may not be placed in the outer margins.

 

5. Lodged by

 

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

 

. Certificate of Registered Owners or Lessees.,

(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.

*

PSG

Signature of *Registered Owners

 

 

Rule out whichever is inapplicable

 

 

 

2.Planning Body Approval.
* SUNSHINE COAST. REGIONAL COUNCIL

hereby approves this plan in accordance with the :

% Systairelde Panning Act ZO

Dated this

 

DELEGATED OFFICER
vi rtne eerie AD PAN HALL
COORDINATOR - DEVELOPMENT CONSTRUCTION

bo cee eee eeseeeecaeceverseeeaeteteseeeeveveeseseeateeties ENGINEERING & ENVIRONMENT ASSESSMENT
SUNSHINE COAST REGIONAL COUNCIL

* Insert the name of the Planning Body. % Insert applicable approving legislation.

# Insert designation of signatory or delegation

 

 

 

 

 

 

6. Existing Created
Rett ce Description New Lots Road | Secondary Interests
11481240 | Lot 476 on MCHI3I9 476 —
14795115 | Lot 477 on MCH3548 476 & 477 —
476 POR’S 476 & 477 | (2. Building Format Plans only.
477 POR 477 I certify that :
* As for as it is practical to determifie, no part
Lot Ori of the building shown on this pkih encroaches
ors ‘9 onto adjoining lots or roagy

 

 

* Part of the buildin
encroaches ont

own on this plan

7. Orig Grant Allocation : ‘oining* lots and road

 

eMapReference: | ges

 

 

 

 

 

4.References :
Dept File:
Local Govt:

3.Plans with Community Management Statement :

CMS Number : esalaso
13/3366

Name:
Surveyor :

 

 

 

_ Cadgstral Surveyor/Director™ Date
9445 23 133 ‘delete words not required
9. Parish : 13. Lodgement Fees :
TUCHEKOI 3
Survey Deposit $e.
wo. County : Lodgement Bo
MARCH Ts New Tities Bon
Photocopy :
u. Passed & Endorsed :
Postage Bo
By: Maxwell Leslie Watterson TOTAL $
Date: sfofrs 2efefis pf ree
Signed : MILARLE (4. Insert

numer = SP263772

Designation : Cadastral Surveyor