AF00101493 School file Dubbo West post 1939 14-7466 - Flipbook - Page 6
form 2—This form must NOT be used where any Dedication, Drainage Reserve 'or Public Garden and Recreation Space is provided. — See Form 3. WARNING: CREASING OR FOLDING WILL LEAD TO REJECTION.
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/ a surveyor registered under the Surveyors Act, 1929, as ame,.•
dad, hereby certify that the survey represented in this plan
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Statements of Proposed Easements.
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Approved by the Council and 1 hereby certify that the require.
merits of the Local Government Act, 1919 (other than the
requirements for registration of pl.:Inst.. save been complied
with by the applicant in relation to the proposed subdiv4;on
set out herein.
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Council Clerk
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PIR4.1.6116111.4.4+
—WARNING. Plan Drawing only to appear in tins space—
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*Strike out either (1) or (2).
t Insert date of
survey.
