AUTHORITY

					                                                         AUTHORITY
                               (Notification of use of Undercroft rooms)

Owner Name: …………………………………………………………………………………………………………
                                  Surname                                                   Christian Names

Postal Address: ………………………………………………………………………………………………………..
                                  Street                                           Suburb                      Post Code

Telephone: ...……………………………………………………………………………………………………………
                                  A/Hours                                               B/Hours

To:        Chief Executive Officer
           City of Mandurah
           PO Box 210
           MANDURAH WA 6210

Subject Property:

…………………………………………………………………………………………………………………..
Street No                   Lot No                      Street                                        Suburb



The above party in the owner of the above property which is the subject of a building licence
application (application number…………………) incorporating an undercroft store that is below the
recommended minimum finished floor level for areas subject to flooding.


We hereby authorise and request that you instruct the City’s solicitors to prepare all such
documentation as may be required to satisfy Council’s Principal Surveyor in respect to confirming
that the undercroft store at the subject property has been constructed below the recommended
minimum finished floor level for areas subject to flooding.


We hereby undertake and agree to pay all costs in this matter, including instructing solicitors,
drafting and settling of documentation, registration fees and stamp duty.


We acknowledge that the solicitors will be acting as solicitors for the City in this matter.


We undertake to pay any account from the solicitors (either McLeod & Co or Minter Ellison) which
is addressed to the City of Mandurah and marked as being for our responsibility, within seven (7)
days of receipt.


................................................................................
Signature


................................................................................
Print Name




Reviewed 1/7/10                                                                                                            1
or

THE COMMON SEAL of                                                  )
(ACN                          ) was hereunto                        )
affixed by authority of its directors in the                        )
presence of:                             )



................................................................................
Director


................................................................................
Director/Secretary




Registered proprietors and prospective purchasers of the land above described are notified that
the use of the ……………………….. (eg undercroft boat store) having the approximate
measurements of ……………………….. x ……………………….. on the land approved by the City
of Mandurah (“the City”) under the building licence application No ……………………….. (“the
Undercroft Store”) has been construct below the recommended minimum finished floor level for
habitable dwellings in areas subject to flooding and the use of the Undercroft Store for habitable
purposes is prohibited. Non compliance with this restriction will render the proprietors and/or
occupiers of the land liable to prosecution. Further information in this regard may be obtained from
the offices of the City.




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