Application for registration of premises - Tararua District Council

Grease trapIs there a grease trap? Yes No Is it shared? Yes NoType of trapCapacityToilet numbersUrinal stalls Male toilets Female toilets Wash hand basinsUnisex Staff only AccessibleFloor plan (New premises only)Floor plan attached of the proposed premises, detailing all floor, wall and ceiling surfaces, outdoor seating and essentialfeatures.Food safety training detailsIf you are registering food premises, please provide copies of food hygiene training certicates including name, qualification (e.g.NZQA Unit 167), and year obtained.Purpose for seeking registrationFood PremisesEatinghouse (any premises where food is prepared on thepremises for consumption on the premises)GroceryRetail sale of sandwiches, cakes or bakers smallgoodsBakery (any premises where bread, pastry, cakes orbakers’ smallgoods are baked for sale or wholesale)TakeawayRetail sale of milk and chilled dairy productsRetail sale of ice/waterRetail sale of ice-cream/frozen confectionsRetail sale of fruit or vegetablesRetail sale of meatButcherManufacturing uncooked comminuted fermented meats(UCFM)Retail sale of fish/seafoodProcessing or retail of honey and bee productsRetail sale of confectionaryDelicatessen (any premises used for the retail sale ofcooked meat, cooked pastry containing meat, meat pies,meat pasties, meat savouries, cooked poultry, cooked fish,smoked fish, fish pasties, fish savouries, quiches or similarcooked food)Manufacturer of food product(s) for retail sale elsewhere – specify type of food (continue on seperate sheet if required)OtherContinued on next page...2application for registration of premises