Fillable Application for Certificate Sale & Supply of Alcohol (Timaru District Council New Zealand)

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Application for Certificate Sale & Supply of Alcohol (Timaru District Council New Zealand)

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Country of origin: NEW-ZEALAND
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#47605
Application for Certificate
Sale & Supply of Alcohol Act 2012
Resource Management Act 1991 / Building Act 2004
I hereby apply for a Planning / Building Act compliance certificate which I require for
my liquor licence application for the premises described below:
Brief description of proposal (include detail of licence type, hours, days and attach plans if
available):
Address of the proposed licenced premises:
Proposed trading name:
Legal description of the site of the premises:
Lot:
DP:
Name of the owner of the premises:
Type of liquor licence applied for (i.e. On, Off, Club):
Note: The applicant is the person / club / company / organisation receiving the profits from the sale of alcohol. Please state
the full legal name of entity or person applying.
Applicants name:
Postal address:
Phone:
Email:
Signature (or name if providing electronically):
Date:
Payment of Fees
Please make payment at the time of lodgement to the following bank account:
Timaru District Council Amount: $290.00
02 0888 0269159 00 Reference: RMA LIQ
Particulars: Premise name
#47605
Office Use Only
Sale & Supply of Alcohol Act 2012
Resource Management Act 1991 / Building Act 2004
Report on application for “Certificate from Local Authority under the Sale and Supply
of Alcohol Act 2012”
Building Unit
Building Act 2004 – comment on proposed use:
Does the proposed use of the premises meet the requirements of the New Zealand Building Code:
Yes No
Comments:
Signature:
Date:
Planning Unit
Resource Management Act 1991 – comment on proposed use:
Does the proposed use of the premises meet the requirements of the Resource Management Act 1991
/ Timaru District Plan:
Yes No
Comments:
Signature:
Date:
Office Use Only
Planning code: 2010.130.220 Fee $155.00 Receipt no:
Building code: 2020.110.152 Fee $135.00 Date:
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Application for Certificate Sale & Supply of Alcohol (Timaru District Council New Zealand)

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Completed 11 February 2021

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