APPLICATION DETAILS
PURPOSE FOR WHICH THE PREMISE ARE TO BE USED
1
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Name of Premises:
Premises Situated at:
Property Legal Description (or valuation #):
Company/Trust/Entity Name:
Postal Address for Service of Documents:
Name of Manager:
Phone Number: (Work) (Home) (Mobile)
Email Address:
Signature of Applicant: Date:
Prescribed Fee: $258
Please complete and return with:
A copy of any contractual agreements held with effluent treatment providers for the disposal of waste products
collected in the course of trade
Blood or Offal treating
Bone boiling or crushing
Collection of storage of used bottles for sale
Dag crushing
Fellmongering
Fish cleaning
Fish curing
Flax pulping
Slaughtering of animals for any purpose other than human consumption
Storage, drying or preserving bones, hides, hoofs or shins
Flock manufacturing or teasing or textile materials for any purpose
Nightsoil collection & disposal
Refuse collection & disposal
Tallow melting
Tanning
Wood pulping
Wood scouring
Septic tank desludging & disposal of sludge
Gut scraping and treating
The Health (Registration of Premises) Regulations 1966
(Indicate in the box(es) provided which category(ies) your proposal relates to)
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
Page 1/1 // December 2015
REGISTRATION OF
OFFENSIVE TRADES
APPLICATION FORM
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