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application for a certificate of occupancy - Kangaroo Island Council

application for a certificate of occupancy - Kangaroo Island Council

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DEVELOPMENT ACT 1993, AS AMENDED<br />

STATEMENT B<br />

(Walling and Ro<strong>of</strong> Framing)<br />

To be lodged with <strong>Council</strong> on or prior to an <strong>application</strong> <strong>for</strong> a Certificate <strong>of</strong> Occupancy<br />

Owner:<br />

Builder:<br />

Location:<br />

DA N o :<br />

Class:<br />

I (insert full name in Blockletters)<br />

hereby certify that the wall and ro<strong>of</strong> frame <strong>for</strong> the Building Work detailed above have been carried out in<br />

accordance to the approved plans, specifications, technical details, conditions <strong>of</strong> Building Rules Consent,<br />

written directions or variations <strong>of</strong> an authorised Officer and any relevant Acts and Regulations.<br />

Postal Address:<br />

Licence N o . and type <strong>of</strong> Licence:<br />

Relevant qualifications under Regulation 87(3)(4) & (5):<br />

Signature:<br />

Date:

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