PETITION - BLACK MOUNTAIN SPEED LIMIT REDUCTION REQUEST · 2026-08-20 PETITION Black Mountain Speed Limit Reduction - REDACTED

%.6 NOOSA + @ & Council PETITION SUBMISSION FORM Council will only use the personal information collected for the intended purpose, to remain in contact with you regarding the petition and for the associated functions and services of Council. Council is authorised to collect this information in accordance with the Local Government Act 2009 and associated laws. Access to your personal information will only be provided to the appropriate Council employees and authorised officers. Your personal information will only be disclosed to third parties with your consent, or if required to do so by law. Your personal information is handled in accordance with Council's Privacy Policy. This form is to be completed when members of the public wish to submit a petition to Council. Please refer to the Petitions Factsheet for further information. All correspondence regarding this request will be directed to the Principal Petitioner. Petitions presented at Council Meetings will be published on Council's website as required by section 254F of the Local Government Regulation 2012. Principal Petitioner Details ContactName: (C #-C ALE SARA WA Contact Detais: CLA UAF SQQ CEciLE_SARAWWACHOTHAL. by Petition Request Purpose of the Petition: Re A LE_ Co. seeeel (eye re los! Golex In 2) \ , fr, . : PETITIONER DETAILS (minimum of 10 signatories required) NAME ADDRESS (including postcode) Ne youa | SIGNATURE oosa resident? iit an ee a Please print and attach additional petition forms if required.