Development Application part 2 of 3 Proposal - MCU13/0098

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  sou I                 space             building design                                                                 ~       y(!A#.
                                          Exclusive Residential and Commercial Designs by Paul Hindes

                                          QSSA Lk 1160074 I ASN 81 600841 459 I 23 Paluma Street Sunrise Beach, Queensland 4567

                                          Ph:(07)54553651 I Fax: (Ol)31029926 I Emall: [email protected] I           www.soulspace.com.au



                                       OWNER’S CONSENT




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Being the owner(s) of land known as

Lot N            Street         I~J~A/) I/Ilr’-                                                            Postcode               t;rt(

Being the land described on the Certificate of Title


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Do hereby give my/our consent to Paul Hindes of Soul Space to act as my/our agent in lodging
applications and/or obtaining any information as may be deemed necessary in relation to the land
and any such structures appurtenant to the above mentioned property.



DATED THIS                   t.{ day of        M                                20 I)
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Signed by the Owne,(s),
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In the presence of (agent’s name ):




Signature of Agent:




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