DF13075_Bell-Allen Holdings PL_ Electonic Lodgement Form_251016

 

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REQUEST FOR ELECTRONIC COMMUNICATION FOR DEVELOPMENT APPLICATIONS

Electronic Correspondence Agreement
Y agree to correspond with Noosa Council electronically and to receive all future correspondence in relation to my

development applications via the email address provided below, and not by hard copy mail.

Email address: Wa : '
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Please provide corporate e-Mail address if available.

 

Signed: ink She “ al
Please forward completed form to the following
Name: Trish Sweeney — [email protected]

 

Comments:

Privacy

Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is
authorised to collect this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your
personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with
council's privacy policy.

Noosa Council PO Box 141 Ph:(07)53296500 [email protected]
TEWANTIN QLD 4565