Sandpiper Electronic Communication Consent Form · 132007.1181.02

         REQUEST FOR ELECTRONIC COMMUNICATION FOR DEVELOPMENT APPLICATIONS


Electronic Correspondence Agreement
X I 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: [email protected]
                                                         [email protected]
                                                      Please provide corporate e-mail address if available.


         Signed: _______________________

Please forward completed form to the following
Name: Trish Sweeney – [email protected]

           Comments:

           In relation to the Change to a Development approval condition for Unit 3 Sandpiper, 33
           Hastings St Noosa Heads, can all correspondence be sent through electronically.

           Thanks
           Russell Green
           0438 210 182




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              PO Box 141                  Ph:(07)53296500             [email protected]
                                    TEWANTIN QLD 4565