City of Bayswater Health Local Law 2023
Sch 1
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Schedule 1 APPLICATION FOR REGISTRATION OF A LODGING HOUSE I/We, .......................................................................................................................................................... (Full name of Applicant/s) Of .............................................................................................................................................................. apply for the registration of premises situated (or to be situated) at .................................................... .................................................................................................................................................................. as a lodging house to be classified as—
- a lodging house;
- a short-term hostel;
- a recreational campsite; or
- serviced apartments (Specify which is to apply) and for my name to be entered in the Register as the keeper of the lodging house. DESCRIPTION OF LODGING HOUSE Number of Storeys………………………. Rooms for private use Laundries/toilets/bathrooms Bedrooms Dining Rooms Kitchens Sitting Room Other (Specify)
25 August 2023 GOVERNMENT GAZETTE, WA 2953 Rooms for lodgers Laundries/toilets/bathrooms Bedrooms Dining Rooms Kitchens Sitting Room Other (Specify) Sanitary Conveniences for male lodgers Toilets Urinals Baths Showers Hand basins Sanitary Conveniences for female lodgers Toilets Basins Showers Hand basins Laundry Facilities Coppers Wash troughs Washing Machines Drying cabinets or clines lines Additional Details (a) Lodgers’ meals will be provided by the manager/keeper/lodgers. (b) The keeper will/will not reside continuously on the premises (c) Name and occupation of proposed manager if keeper resides elsewhere ................................ .................................................................................................................................................................. (d) ………….family members residing on the premises with the keeper/manager. Application fee of $........is attached. ················································································· ……………………………. ————