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Electronic Communication Form · OPW15/0240

Attached to the e-mail OPW15/0240 - Operational Works Application.

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lege) NOOSA COUNCIL

REQUEST FOR ELECTRONIC COMMUNICATION FOR DEVELOPMENT APPLICATIONS

Electronic Correspondence Agreement
wy agree to correspond with Noosa Council electronically and to receive all future correspondence in relation to my

development applications via the email address provided below, and not by hard copy mail.

 

    

Email address: 5 f i iY ;
. . lanel® clrabarcartd Pele. Co Ud
/, a Please provide ‘eerporate e-mail address if available.
} Yt ft fLZAA DP pm
SL RAW BE

Signed:
/

Please forward completed form to the following :

Name: Trish Sweeney — ‘[email protected] _. ;

Comments:

Privacy -

Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is
authorised to collect this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your
personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with

council's privacy policy.

 

 

Noosa Council

 

 

 

 

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