20200466 - Request for GIA Response for Building Works.pdf

7. Property Made Checklist
For an application to be properly made, the following is required;
    x Completed & signed Request for Referral Agency for Building Work form - GIA
     x Plans
     

           Justification Report - Request Letter attached
           Applicable Fees - Gateway Link to be sent to PBCQ by NSC for owners to make payment
NOTE: This request is accepted on the basis that the proposed development is not inconsistent with earlier development approvals or with
other aspects of the Planning Scheme (not the subject of this request)


8. Declaration of Applicant
I/We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this application with Council.
Should any of the details given in relation to this application be changed in the future, the applicant shall advise Council in writing prior to
any such change being implemented.
Signature:                                                                                                   Date:
                                                                                                                       10/02/2021




Payment options
All payments made by credit card will incur a 0.50% surcharge (exempt of GST) to reflect the cost of fees charged for credit card transactions.
In person        Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail          Cheque or money order to be made payable to: Noosa Council.
                  Cheque                          Money order                     Mastercard                       Visa
                 Card number                                                       Expiry date                       Amount $
                 Name on card                                                                                        Ph:
                 Signature:                                                        Is a receipt required?             Yes           No


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7. Property Made Checklist
For an application to be properly made, the following is required;

 

& Completed & signed Request for Referral Agency for Building Work form - GIA

cx Plans

o Justification Report - Request Letter attached

ao Applicable Fees - Gateway Link to be sent to PBCQ by NSC for owners to make payment

 

NOTE: This request is accepted on the basis that the proposed development is not inconsistent with earlier development approvals or with
other aspects of the Planning Scheme (not the subject of this request)

 

 

 

 

8. Declaration of Applicant

 

IWe, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this application with Council.
Should any of the details given in relation to this application be changed in the future, the applicant shall advise Council in writing prior to
any such change being imple

  

Signature: Date

10/02/2021

Payment options

 

PNR EN ee ha ur a 0.50% surcharge (exempt of GST) to reflect the cost of fees c! redit card transactions.
In person Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail Cheque or money order to be made payable to: Noosa Council.

O Cheque O Money order O Mastercard O Visa

Card number Expiry date Amount $

Name on card Ph:

Signature: Is a receipt required? O Yes ONo

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