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Inspection Report EStevens
NOOSA COUNCIL Inspection of Premise Report
VP 14/000)
boca. tax he} Wisthr Merk [are 2669
(Legislation) Date TT af ris
Time | {7Q9' am /Gr
Business/Customer Name: ( QOQ209 NO WO RUE RY S760
Address: isk (F olTs Ry, Co ohW4
Business Phone:(mb) QULtF O06 CIA (wk)
Business Email:
Contact Person: ~)OWA/ MOR ?0Ow Position: LI CEN SEE / OU/NETL
Inspection type: (Annual )Reinspection Complaint Search Final New Licensee Other:
Notes / Officer comments Time for completion
The premises may be re-inspected at the expiration of the above time period(s) or sooner if requested by you. Should any of
these matters require er Clarification or should you require further assistance, please contactthe officer below.
Further Action? N Reinspection Reinspect date (approx) / / Notice PIN
| have read and understood the contents of this report. >
Name Del (T7e KE te Signature Ll —
Officer name & Signature EM Shires Officer Gs phone 53 246410
Environmental Health | T (07) 53296500 | [email protected] | PO Box 141 Tewantin QLD 4565
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