از
FOIGH 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 CONTROL, ORDINANCE
[reu. 4]
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 licence/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.
Dated this
Signature of Applicant
Name
Details of Owner(a)*
day of
19
2.
Name of Owner(s)
(Surname First)
Status
Correspondence Address
Telephone
Number
English
Chinese
* Delete if not applicable
+ Inoluding the applicant
Identity Card/ Certificate of Incorporation*
Number
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