SECOND SCHEDULE
FORM 1
rogo. 4, 10, 11, 12 & 157
[reg. 47
AIR POLLUTION CONTROL (SPECIFIED PROCESSES) REGULATIONS 1987
APPLICATION FOR A LICENCE PURSUANT TO SECTION 14 OF THE AIR POLLUTION CONTROL ORDINANCE
To: The Authority
1.
I/We* the undersigned hereby apply under Section 14 of the Air Pollution Control Ordinance for a licence for the conduct of the undermentioned specified process and I/we* heroby declare that the following particulars and the additional information, if any, provided are correot and the relevant plans and specifications are prepared by the qualified engineer(s)/ authorized person(s) listed in paragraph 3 of the application.
I/We enolose the application fee of $100.
This application, including plans and specifications, comprises
Dated this
day of
of 19
pages.
2.
Signature of Applicant
Name
Details of Owner(s)+
Name of the Owner(s) (Surname First)
English
Status
Correspondence Address
Telephone
Number
Identity Card/
Certificate of Incorporation"
Chinese
Number
Delete if not applicable
+ Including the applicant
Page 210Page 211