Development Application part 1 Forms REC2/0077

    I Sunshine
      Council
               Coast                                                                                Regional Strategy and Planning
                                                                                        Submitting Supporting Documentation Form


1. Applicant details

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Suburb              c.oo~o7’                                                        I State        ex                 IPostcode 4S63
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2. Business details if different to above

Business name

Postal address

Suburb                                                                              I State   _.
                                                                                                                      i Postcode
Preferred contact person

Business phone                                       I Alternate phone                                         Mobile

Email address                                                                                                  Fax
          _..._-                                                                                                                                         --




                                                        (date       -
                                                                                     date if you are submitting

                     the first copy submitted of any information is the legal binding document captured in Council’s
                                               for assessing and determining development applications.

                                                                                                                                    t..




   1 CD (in PDF format with each document not exceeding 40MB)plus five (5)hard copies of each document (for
Development Application).
o 1 CD (in PDF format with each document not exceeding 40MB)plus three (3)hard copies of each document (for
Building Application)
o           additional copies of plans/information
     _




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.



www....nahiinecoat.qld.p-...        I mailfnshinacoast.qId.gov.8U I T 075475 7272 F 0754757277
Locked BIg 72Sunshine Coast Mail Cenn QId 4580    I ABN :IT 878 973913
CaIound,.otIIce 1 Omrah Avenue CaIoanfra QId 4551                         I   ~oIIIce 11-13Ocean Street MaroochydOI8 QId 4558
Nambour oII’ic:-. Cnr Cum.and 8I.-y S1raeta Hamboll QId 4580                        I   TewMtin ollie.9Pelican Street Tewantin Old 4566


1 of 1    Regional Strategy and Planning Submitting Supporting Documentation Form                                                   FM282/3/24/06/2011


[OCR of page images]
Sunshine Coast Regional Strategy and Planning

 

 

 

 

 

 

 

 

 

Council Submitting Supporting Documentation Form
Surname Philp Given names Tony
Postal address C/. Max (WJad-tersen d Associates PO Box 639
| Suburb Cooney ‘State ‘Postcode 45°63
|Business phoneo7? S42 6/2 / |AlHphoneo? S=#Z2 Sol/ Mobile O438 IIS S25
|Emailaddress oo freq @ Mwasurveys. com av Fax 07 S#42 Sl2s _

Business name
Postal address
Suburb State Postcode

Preferred contact person ;
Business phone Alternate phone Mobile

Email address Fax

 

3. Declaration

I, AX bh a Her son

Am submitting the attached [CD and/or [Documents

Ons it (today’s date) in support of application number.
| hereby certify that what | am submitting at this time is a true, genuine and complete copy of the information previously
supplied by:

‘Cemail
CD

Whard copy, oO
on o/ 2 /i L (date — today’s date if you are submitting items at the same time).

| understand that the first copy submitted of any information is the legal binding document captured in Council’s
records managemenjalata aang used for assessing and determining development applications.

| Signature MMA Nal-—=— Date s[s/r z

[Y 1 CD (in PDF format with each document not exceeding 40MB) plus five (5) hard copies of each document (for

Development Application).

O 1 (CD (in PDF format with each document not exceeding 40MB) plus three (3) hard copies of each document (for
Building Application)

O ___ additional copies of plans/information

 

 

 

 

 

 

 

 

 

 

 

 

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.

 

 

 

weww.sunshinecoast.qkL.gov.au | [email protected] | T 07 54757272 F 07 8475 7277
Locked Bag 72 Sunshine Coast Mail Centre Qid 4560 | ABN 37876 973 913

Caloundra office 1 Omrah Avenue Caloundra Qid 4551 | Maroochydore office 11-13 Ocean Street Maroochydore Qld 4558
Nambour office Cnr Currie and Bury Streets Nambour Qid 4560 | Tewantin office 9 Pelican Street Tewantin Qld 4565

1of1 Regional Strategy and Planning Submitting Supporting Documentation Form FM282/3/24/06/2011