Land Information Memorandum Application
Section 44A of the Local Government Ofcial Information and Meetings Act 1987
1. Applicant Details
Queen Street, P O Box 404, Te Kuiti 3941, NZ. Telephone 07-878 0800, Fax 07-878 7771, Email enquiries@waitomo.govt.nz, Website www.waitomo.govt.nz
Application for Certicate of Registration
Health Act 1956
Name in Full
Phone
Mobile
Fax
Postal Address
2. Registration Details
Health (Registration of Premises) Regulations 1966 and Waitomo District
Council Bylaws
Contact Numbers
Email
Trading Name
Type of Registration
Food Premises - Transfer of Registration ONLY (where ‘Transition Schedule’ under Food Act 2014 applies)
Hairdressing
Camp Ground
Mobile Shop
Saleyards
Itinerant Trader
New Premises
New Operator/Owner - Transfer of Registration
Site Address of Premises
Mobile Shops - Please provide
make, model and registration of
vehicle
Previous Trading Name
Business Manager
3. Applicant’s Declaration
I understand that Council will send all invoices for registration fees and all correspondence related to the application
to the holder of the registration and that the information provided on the application form is true and correct.
Funeral Director
Offensive Trade
Mortuary/Funeral Parlour
Date Received
Received by
Amount Paid
Receipt No
4. Ofce Use Only
Signature
Name
Date
Hawker
EHO Approved
please speciy type of trade
please specify goods for sale
Date
247554v2 : HL1 : P1 of 2
Guide to Health Act Registration
Health Act Registration
The Health Act 1956 and Regulations made thereunder, the Health (Registration of Premises) Regulations
1966, requires occupiers of premises used for hairdressing, mortuary/funeral parlour, camping grounds,
saleyards and offensive trades to obtain a registration before the activity commences. In order to obtain the
registration, the premises must comply with the standards and requirements set down by the Health Act and
all other relevant legislation.
Funeral Directors
Funeral Directors are required to be registered and inspected under the Health (Burial) Regulations 1946.
Mobile Shop
A Mobile Shop Licence covers people who sell products or services in public places to customers from a
vehicle (self-propelled or not) by visiting without making prior arrangements or from which services are
offered for sale in the street.
The holder of a Mobile Shop Licence is required to abide by the Waitomo District Council’s Public Places Bylaw
2009 and any conditions set in their licence. Failure to comply with the Bylaws or any conditions of a Mobile
Shop Licence can result in the revoking of the licence. Mobile Shops selling food are also required to meet
appropriate health requirements.
Itinerant Trader
An Itinerant Trader includes any person who is not continuously resident in the district for at least six months
and does not own or have a lease over a premise for a period greater than six months and sells any goods,
wares or merchandise. The holder of a Itinerant Traders Licence is required to abide by the Waitomo District
Council’s Public Places Bylaw 2009 and any conditions set in their licence.
Applications must be accompanied with at least 1 characeter reference.
Hawker
A Hawkers Licence covers people who sell products or services to customers by visiting without making prior
arrangements. The holder of a Hawkers Licence is required to abide by the Waitomo District Council’s Public
Places Bylaw 2009 and any conditions set in their licence.
Applications must be accompanied with at least 1 character reference.
Registration Fees
Registrations are renewed annually. A renewal notice will be sent to prior to your registration expiring.
Application fees are apyable upon renewal.
The registration year is from 1 July to 30 June the following year.
The current fees and charges schedule can be found on our website www.waitomo.govt.nz.
247554v2 : HL1 : P2 of 2
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome