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Owners consent

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on the premises described above for:

 

Material Change of Use (Dwelling House) and Reconfiguration of a Lot (1 Lot into 2 Lots).

 

Company seal /if used)

 

Company Name and ACN:
THE CORPORATION OF THE SYNOD OF THE DIOCESE OF BRISBANE

ABN: 32 025 287 736

2 Noveube

Group Manager — Property

  

 

(Delete the above where company owners consent must come from hoih cirector and director

 

 

Company Name and ACN: 2... scccccreeeenee nee cee ee tee cee ne ee abe ne HUE CEL EPEC, DISHES ROE Uy SOU UEE LAER EDD See CaS DDO NEE FO paN HER

 

 

 

— Signature of Director ©’ Signature of Director/Secretary
Date “Date

 

 

 

[Delete the above where there |

‘for the company giving the owners consent }

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Applicant template 11.0
Version 1.0---3 July 2017
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