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080418 ATSI Cultural Heritage Search Request form.pdf [As Published] · 132008.1128
Benes
OFFICE USE ONLY
Date Received: Date Processed:
Processor: Date Responded:
Request ID
“ABORIGINAL & TORRES STRAIT ISLANDER CULTURAL HERITAGE SEARCH REQUEST
APPLICANTS DETAILS
Name: Drevo Westbrook
Organisation: SQ Goeduin MHidson & Porviners
Address: Ware Technology Ovive
Wa vana State: GAL Postcode: _ 4 1S"
Phone: SMAVD 1107 Fax: SUAS UBCO
Email: d. west rook@ good Winmidson.com.ay
PROJECT / PROPOSED ACTIVITY DETAILS (This section must be completed)
The Cultural Heritage Database is a central store of information regarding Aboriginal and Torres Strait Islander Cultural Heritage in Queensland. Due to the
sensitive nature of the information contained within the database, access is not generally provided to the public.
Client Name/Organisation: Blue Care
Description of Proposed Activity: Aa ad Core Fee Wty
Which category of the Cultural Heritage Duty of Care Guidelines will your activity proceed under?
‘{ | 2 3 a| | 5|X
Search Location Details IMPORTANT: Requests will not be processed unless a legible map or GIS layer of the search location is
attached. The GIS layer should be in ArcView/Arcinfo, or MapInfo Export (mid/mif) format.
Local Government Area(s): Sonshine Coast ( Neos )
Current Lot on Plan ref(s): Loh 6 on REACISTY ' Lok Fon RP BAGAUT
on~d vanev \Vseae 05 yok of Le} | on SF IT7LSO
v
Location Description: of Gas stree Cours ‘ Svnnse Beak
Has consultation with Indigenous people been undertaken? Yes No K
If Yes, provide contact details:
Is the name and contact details for the Aboriginal / Torres
Strait Islander Party for the search area required? Yes No
PLEASE NOTE:
. Itis the responsibility of the applicant to ensure that the information supplied on this form is accurate and current
Please allow fourteen working days for the following receipt of request for processing of search and return of results via e-mail or mail.
Completed application forms should be forwarded to: Enquiries etc. should be directed to:
Cultural Heritage Coordination Unit The Registrar - Cultural Heritage Coordination Unit
Department of Natural Resources and Water Ph: 07 3238 3838
Locked Bag 40 Fax: 07 3238 3842
COORPAROO DELIVERY CENTRE QLD 4151 Email: Cultural. [email protected]
Queensland the Smart State § Queensland Government
Natural Resources and Water
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