Application for Approval of Food Premises Fit-out Plan
Page 2 of 2 FoodPremisesFitout.docx / Building and Environmental Health / Nov-21
Has a Development Application been lodged? Yes No
If ‘Yes’ please provide DA Number
Has a Development Application been issued? Yes No
Lot Number Section DP/NPP/SP
Unit/Street No Street
A5. Privacy and Personal Information Protection Notice
I declare that all the information in this application is true and correct.
Some information requested by Council for this form constitutes personal information under the Privacy and
Personal Information Protection Act 1998 (NSW).
Purpose of Collection: For Council to carry out certification work for the applicant.
Intended Recipients: Council staff, Government agencies
Supply: Legally required, Council may not be able to accept your application if information is not provided.
Right of Access / Correction: Contact Council (02) 6670 2400 or email firstname.lastname@example.org
Storage details: Tweed Shire Council, 10-14 Tumbulgum Road, Murwillumbah NSW 2484
Consequence of non-provision of information: Failure to provide correct business details is a breach of the
Food Safety Standards.
Applicants Name Date