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Public Health Premises Notification

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Public Health Premises Notification Form

Public Health Act 2010

Applicant Details

(Details of person submitting form)

Premises Details

Note: This notification does not constitute consent or preclude the need for development consent under the EP&A Act 1979 or the Local Government Act 1993.

Please select applicable type
Please select all applicable

Operator Company Details

Applicant Declaration

I declare that to the best of my knowledge, the information provided in this application is accurate and correct. I am aware that I will be required to pay a fee for public health premises inspections undertaken by Council, which will be charged in accordance with the most recent Wollondilly Shire Council's Fees and Charges Schedule.

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