Private Bag 9023 | Whangarei 0148 | New Zealand
T: 09 430 4200 | 0800 WDC INFO | 0800 932 463 | F: 09 438 7632
W: http://www.wdc.govt.nz | E: mailroom@wdc.govt.nz
06/335933 August 2010
Notification of change of occupier of registered premises
Pursuant to the Health (Registration of Premises) Regulations 1966
Applicant’s full name
Postal address
Trading name of business
Business phone
Name of previous occupier
Trading name of previous business
Premises registered as (tick box
)
Food Premises
Hairdressing Premises
Other (please specify)
Signature
Date
Fees
Refer to Council’s current Schedule of Fees and Charges.
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