Part A L00 Contact and land Details

                                              Applicant(s) Details and Mailing Address
 If the Applicant is a Corporation, either the Australian Company number, Australian Registered Body number or the Australian
                                                 Business number must be shown.

  Full Names

            Title                               First Name                                                Surname

       MR                            Cody                                              Johnston




  Company Name(s)


    Noosa Shire Council



  If a corporation then record:-


           ACN                   ARBN            ✔ ABN 97 969 214 121

  Note: if the applicant is a Corporation, a requirement of the application is providing evidence (as at the date of application), that the
  Corporation is registered with the Australian Securities and Investments Commission (ASIC) at https://asic.gov.au/online-services/search-
  asic-s-registers/ (company summary printout) and if applicable, also registered with the Australian Business Register (ABR) at
  https://www.abr.business.gov.au (ABN lookup record extract).


  Contact Details

  Postal Address:
  PO Box 141, Tewantin, QLD, 4565


  Phone Number:                                                             Mobile Number:

       07 53296491                                                         0476806489
  Email:



  Future correspondence should be sent to:           ✔ Lodger                                   Applicant




LA00       2023/01                                                                                                        Page 3 of 7
                                          © The State of Queensland (Department of Resources)