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Council archive · source document

- Request to change existing approval / Extend relevant period · 132001.210011.1

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OFFICE USE ONLY
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Application no.       ,Amount paid      I Date paid             Receiptn~
                                                                                1_---
                                                                                                   Date sta


[Receiving Officer
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    Payment options
'In person
    By mail
              ~ 9 Pelican Street, Tewantin: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
               Cheque or money order to be made payable to Noosa Council.
                                                                                                                             j
1_ ~ Cheque __ ~                     Money order _        ]!J Mastercard              0 Visa                _
I All payments made by credit card will incur a 0.50% surcharge (exempt of GST) to reflect the cost of fees
        ___                _     _ __       charged for credit car,!_!.,:a.!:'.sactions.   _   _                        ----.J




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