31 FORM 3
AIR POLLUTION CONTROL (SPECIFIED PROCESSES) REGULATIONS 1987
APPLICATION FOR VARIATION OF A LICENCE PURSUANT TO SECTION 18, OR VARIATION OR CANCELLATION OF ANY TERM OR CONDITION OF AN EXEMPTION
PURSUANT TO SECTION 23, OF THE AIR POLLUTION CONTROI, ORDINANCE
[reg. 47
To: The Authority
1.
I/We* the undersigned, being the licence/exemption* holder of the undermentioned licence/exemption*, hereby apply under Section 18/23* of the Air Pollution Control Ordinance for the variation of a licenoe/variation or cancellation of a term or condition of an exemption for the conduct of the undermentioned specified process and I/we* hereby declare the following particulars and the additional information, if any, provided are correct and the relevant plans and specifications are prepared by the qualified engineer(s)/authorized person(s) listed in paragraph 3 of this application.
I/We* enclose the application fee of $100.
This application, including plans and specifications, comprises
pages.
2.
Dated this
Signature of Applicant
Name
Details of Owner(s)+
day of
19
Name of Owner(s)
Telephone
English
(Surname First)
Chinese
Status
Correspondence Address
Number
* Delete if not applicable
+ Inoluding the applicant
Identity Card/ Certificate of Incorporation*
Number
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