Without the approval of both people, it cannot be given.

He could not have done this without the approval of his Government.

Since it'll happen with or without our approval, we should agree to help.

Do not stop taking this drug without your doctor's approval.

"That you have no right to make decisions without my approval."

What might be worse was if she decided to "help" without his approval.

This is a step he could probably take without the courts' approval.

With or without his approval, it seemed the game had already begun.

Don't anyone even think of touching a door without my approval.

But she also said no cases would now be closed without the approval of senior agency officials.