Fillable AMUSEMENT DEVICE APPLICATION FOR A PERMIT TO OPERATE (Queenstown Lakes District Council New Zealand)

Fill Online, Printable, Fillable, Blank AMUSEMENT DEVICE APPLICATION FOR A PERMIT TO OPERATE (Queenstown Lakes District Council New Zealand) Form

Use Fill to complete blank online QUEENSTOWN LAKES DISTRICT COUNCIL NEW ZEALAND pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

AMUSEMENT DEVICE APPLICATION FOR A PERMIT TO OPERATE (Queenstown Lakes District Council New Zealand)

On average this form takes 5 minutes to complete

The AMUSEMENT DEVICE APPLICATION FOR A PERMIT TO OPERATE (Queenstown Lakes District Council New Zealand) form is 1 page long and contains:

  • 1 signature
  • 0 check-boxes
  • 17 other fields

Country of origin: NEW-ZEALAND
File type: PDF

Use our library of forms to quickly fill and sign your Queenstown Lakes District Council New Zealand forms online.

BROWSE QUEENSTOWN LAKES DISTRICT COUNCIL NEW ZEALAND FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
I / We
of
phone number
hereby make application for a permit to operate a
at
from to
and certify that, having regard to the situation in which the device is erected, it can be operated without
danger to persons operating or using it or in its vicinity. In support of this application, there is attached –
(a) The device’s certicate of registration
(b) The prescribed fee
Signed
Date
FOR OFFICE USE ONLY
Debtor No Invoice No Fee Paid Receipt No Date Licence No Date Issued
The Amusement Devices Regulations 1978 Form 4, Reg 11(1)
Page 1/1 // September 2017
Private Bag 50072, Queenstown 9348
10 Gorge Road, Queenstown 9300
47 Ardmore Street, Wanaka
P: QUEENSTOWN 03 441 0499
P: WANAKA 03 443 0024
E: services@qldc.govt.nz W: www.qldc.govt.nz
APPLICATION FOR A PERMIT TO OPERATE AN
AMUSEMENT DEVICE
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

AMUSEMENT DEVICE APPLICATION FOR A PERMIT TO OPERATE (Queenstown Lakes District Council New Zealand)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 11 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document