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Owners consent
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 } Page 2 Applicant template 11.0 Version 1.0---3 July 2017
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