Application for Operational Works - W & S - OPW14/0145 (see REC12/0014)

    •••••• NOOSA COUNCIL
    ••
                               OPERATIONAL                WORKS APPLICATIONS

                            REQUEST FOR ELECTRONIC COMMUNICATION                                 FOR
                                    DEVELOPMENT APPLICATIONS
     Electronic     Correspondence      Agreement
    I P" I agree to correspond with Noosa Council electronically and to receive all future correspondence i
     in relation to my development        applications via the email address provided below, and not by hard
     copy mail.
   I Email [email protected]
                                     ~-------------------------;
                                              Please provide corporate e-mail address if available.


   Ilf   you are a consultant, please provide your client contact details below:
     Client Name                              Deluca, C/- Inlelara Ply Ltd
   I Client Email                             "as per above"
                                             ------------------------
                                             If no email is available please provide postal address




     Applicant     and Property    Details

   I Applicant Name:
     Property Address:

     Real Property Description:

   I Proposal:
   I Application No                  IOPW141



              Please forward completed form to: [email protected]




I 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 oniy accessed by persons authorised 10 do so. Your personal information
 is dealt with in accordance with councii's privacy policy.



    Noosa Council                            PO Box 141                             Ph:(07)53296500
    [email protected]                    TEWANTIN OLD 4565