Public Health Act 1902 Regulation relating to the form of application for a declaration as to whether land is unhealthy building land (1990-226) [GG No 51 of 20.4.1990] (NSW)
1990 – No. 226
PUBLIC HEALTH ACT 1902 - REGULATION
(Relating to the form of application for a declaration
as to whether land is unhealthy building land)
NEW SOUTH WALES
[Published in Gazette No. 51 of 20 April 1990]
HIS Excellency the Governor, with the advice of the Executive Council, and in pursuance of the Public Health Act 1902, has been pleased to make the Regulation set forth hereunder.
PETER COLLINS
Minister for Health.
The Public Health Regulations are amended by omitting Schedule 24A and by inserting instead the following Schedule:
1990 – NO. 226
SCHEDULE 24A (Regulation 103A)
PUBLIC HEALTH ACT 1902
Property Information Inquiry Form
PROPERTY INFORMATION INQUIRY FORM
IMPORTANT SEE THE INFORMATION SHEET FOR DETAILS OF REQUIREMENTS COMPLETE ALL PARTS AS REQUESTED
• INSUFFICIENT INFORMATION MAY RESULT IN THE RETURN OF THE FORM
COMPLETE THIS BOX ONLY IF LODGING WllH AN
AUTHORITY DlRECT I
AUTHORITY’S
FULL NAME &
FROM:
APPLICANTS FULL NAME & ADDRESS
I I CITY/MUNICIPALIIY/SHIRE PARISH COUNTY
1 I
I
LOCALITY(Suburb/Town/Village/District
HOUSE No
STREET NAME
2
NEAREST CROSS STREEI(S) SIDE OF STREET STREET DIRECTORY NAME & EDITION MAP No GRID REFERENCE 3
FRONTAGE(Metrer) DEPTH (Metres) AREA (Sq M OR hA) NATURE o f PROPERTY (Vacent Land/House/Factory/Units/Farm/IResidence/etc)
LINE
LEGAL DESCRIPTIONS (Complete the APPROPRIATE Iine(s) in full to enable identification of the property)
LOT No DEPOSITED PLAN No (DP No ) SECTON No (If applicable PREVIOUS PORTION No (If Rural) LINE
PORTION No SECTION No (If Applicable l 6 7 ALLOTMENT NO SECTON No TOWN/VILLAGES/ESTATENAME LOT No STRATA PLAN NO
LOT No (of Common Property) D P No (of Common Property) LINE
FOLIO IDENTIFIER OR VOLUME / FOLO OLD SYSTEM DEED No OTHER eg Crown Tenure NO (INDICATE)
9 OR OR
B O O K No
COUNCIL ASSESS OR VALUER GENERAL No WATERBOARD REF No OTHER eg Postures ProTECTION Bd
10
SUBDIVIDER’S NAME STREET NAME (Before Subdivision) TOWN CLERK S No COUNClL ASSESS No OR 1 1 VALUER GENERAL 5 No (Indicate Which)
LINE PORTION No DP No SECTION No AREA&/orDIMENTIONS
LINE REGISTERED PROPRIETOR'S FULL NAME & ADDRESS OCCUPIER S NAME(ApplIcabe) 13
APPLICANT’S SIGNATURE ACTING FOR(Vendor Mortgagee etc DATE PHONE No PURPOSE FOR WHICH INFORMATON REQ’D
( ) 1990 - NO. 226
(Reverse of form)
SECTION 3 – SKETCH
Caution : Non-completion of this section may delay response.
lease show sufficient detail to identify property location, including north point.
Show the posltion of the property in relation to nearby streets and indicate distance to nearest street or cross street.
EXPLANATORY NOTE
The object of this Regulation is to amend the Public Health Regulations so as to substitute the form of application for a certificate (under section 55E of the Public Health Act 1902) as to whether specified land is subject to a declaration (under section 55 of that Act) to the effect that the land, or any part of it, is unhealthy building land.
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