Owner Consent for Agent to Act

Owner Consent for Third Party to Act as Agent for Building Permit Application and Works
Please ensure this form is signed by ALL owners as listed on title.
I/We, * (owner/s), authorise (agent/builder/architect) to act as an agent for the building permit application for the works at * (property address).
Name/Business Name of Agent:*
Agent type:*

BuilderArchitectDraftspersonFamily MemberOther
Signature/s (if more than one owner on the title, please ensure both owners sign below):
Signature Owner 1*

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Signature Owner 2 (if applicable)

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Name Owner 1*

First NameLast Name
Name Owner 2 (if applicable)

First NameLast Name
Date:*

DayMonthYear
Date
Should be Empty:

Owner Consent for Third Party to Act as Agent for Building Permit Application and Works