Sch 11APPLICATION FOR REGISTRATION OF

SCHEDULE 11—APPLICATION FOR REGISTRATION OF PREMISES FOR OFFENSIVE TRADE [clause 9.4 (a)] I/We, .............................................................................................................................................................. (Full Name of Applicant/s) of ................................................................................................................................................................... ....................................................................................................................................................................... apply for registration, for the year ended ........................... of ................................................................................................................................................................... (Location of Premises) being premises in or upon which there is (or is to be) carried on an offensive trade, namely ....................................................................................................................................................................... ....................................................................................................................................................................... (Description of Offensive Trade) under the business name of ......................................................................................................................... ....................................................................................................................................................................... The prescribed registration fee of $............................... is attached. .................................................................................................... ............................................ ————

7 March 2018 GOVERNMENT GAZETTE, WA 793