Owner Consent_Company · 51901.4560.01

on the premises described above for:

 

[Insert details of the proposed development, e.g. material change of use for four-storey apartment building.]
Change application to approved multiple dwelling

 

Company seal [if used]

 

Company Name and ACN: o.0......cc cece cccnecee ner ene eee caeene cette cie sneer ene aeeseaseneaeeeecsuercesaeecareaseneane tes cniats
NV /) "Signature of Sole Director/Secretary

 

 

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

 

Company Name and ACN: .........pavid-dane Investments-14:109-454 G37 cece errr eects

Signature of Director ignature of Director/Secretary

= 6 1s veer AGHAST occccce

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