35 - Western Bay of Plenty District › repository › libraries... · The period of time for which...

22
Page I ofl @ NEW ZEALAND COMPANES Ifflitiiy%i\IiES E’.,ii3EICE REGISTER Company Extract KLM ENTERPRISES LIMITED 5790457 NZBN: 9429041952757 Entity Type: NZ Limited Company Incorporated: 31 Aug 2015 Current Status: Registered Constitution Filed: No Annual Return Filing Month: July Ultimate holding company: No Company Addresses Registered Office 14 Marsden Road, Paihia, Paihia, 0200, NZ Address for Service 14 Marsden Road, Paihia, Paihia, 0200, NZ Directors LACHHANI, Kunal l4 Marsden Road, Paihia, Paihia, 0200, NZ Shareholdings Total Number of Shares: 200 Extensive Shareholdings: No 120 LACHHANI, Kajal 220 Greenhithe Road, Greenhithe, Auckland, 0.632, N» 40 LACHHANI, Kunal l4 Marsden Road, Paihia, Paihia, 0200, N2 40 LACHHANI, Kunal I4 Marsden Road, Paihia, Paihia, 0200, NZ’ For further details relating to this company, check http://app.companiesoffice.gov't.nz/co/5790457 Extract generated 18 May 2018 12:13 PM NZST 35

Transcript of 35 - Western Bay of Plenty District › repository › libraries... · The period of time for which...

Page 1: 35 - Western Bay of Plenty District › repository › libraries... · The period of time for which ponded water will ve present. - 9. The accessibility and 'visibility‘ oi the

Page I ofl

@

NEW ZEALAND COMPANESIfflitiiy­%i\IiES E’.,ii3EICE REGISTER

Company ExtractKLM ENTERPRISES LIMITED

5790457NZBN: 9429041952757

Entity Type: NZ Limited CompanyIncorporated: 31 Aug 2015Current Status: RegisteredConstitution Filed: NoAnnual Return Filing Month: July

Ultimate holding company: No

Company Addresses

Registered Office14 Marsden Road, Paihia, Paihia, 0200, NZ

Address for Service14 Marsden Road, Paihia, Paihia, 0200, NZ

Directors

LACHHANI, Kunall4 Marsden Road, Paihia, Paihia, 0200, NZ

Shareholdings

Total Number of Shares: 200

Extensive Shareholdings: No

120 LACHHANI, Kajal220 Greenhithe Road, Greenhithe, Auckland, 0.632, N»;

40 LACHHANI, Kunall4 Marsden Road, Paihia, Paihia, 0200, N2

40 LACHHANI, KunalI4 Marsden Road, Paihia, Paihia, 0200, NZ’

For further details relating to this company, check http://app.companiesoffice.gov't.nz/co/5790457

Extract generated 18 May 2018 12:13 PM NZST

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Sheet Index

Layout ID Layout Name01 Cover index02 Site Plan03 Survey Plan

Western Bay of Plenty District Council 04 site DrainagexN[ A v 05 Drainage Details

06 Floor PlanAPPROVED 07 Framing Plan

These plans must remain on site. "5 "°”"°"509 Sections

' , 10 §2 DetailsL I xN[ A % p _ , A 11 E2 DetailsIIIIIIIIII­, N ~ K I 12 D&WSchadule_ xN[ A p 13 Bracing Plan

‘ .­ 14 Liniel Fixing Details‘­' xN[ A q 15 Electrical Plan16 RoofPlan17 Truss Layout

xN[ A r 1: at.Iea eaisat 20 GASDetails

Vii|:'

ii

Consent Planso for The Proposed

Lachhani Trustee Ltd. Tavern, Restaurant & Shops e168 Omokoroa Road Omokoroa xN[ A n

Project Number 17120 architecture glimlled

www.penndesign.co.nz DesignPh: 07 572 4203 — Fax: 07 572 4207 Flexibility360A Maunganui Road. Mt Maunganui. Tauranga. Quality

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THE LOCAL'S TAVERN BAR & EATERYShop 6

168 Omokoroa RoadOmokoroa

Locality in Relation to PerceivedSensitive Premises

I,,.io“b goinokoroa O

Commlnfly Church Waihl Pizza Club­ Omokoroa ..

First National Q .Omokoroa .

Freshchoice Omokoroa 9 .8 lO

f HolidayK5 Q

168 omokomo RoadO .

7 .

°'>%’ 0 Super LIL19uoI é,ino

Name I AddressOmokoroa Community Church I 139 Hamurana Road

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THE LOCAL'S TAVERN BAR & EATERYShop 6

168 Omokoroa RoadOmokoroa

LOCATION PLAN

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Figure 6. Accessible Toilet CompartmentParagraph 4.2 7 and Tablol

14 90519U0rrvvl ’VIl!V Space lo:

T1 wheeI[,I7all00""" IILIQ wheels each­‘mp rsnmmfi side or ClSIe'7‘

i

T I wioi W L‘ 1: 750 x 750mm7 i C ,vy~ , ,

3 ‘owei and seat: %O"‘;l0aC‘mP «I _ lJlSD5V\SC' lone xN[ A n t

TOI (‘I D508’

X r‘.OIl1t‘,l zone

.4‘. D033,200 X 3,600 j

Gas Bottles W02 W03 )7 rGBTL120@_© 600x 800 600x800 gr:

—v I T ’ '*_ Eu...Ta.‘ in­—: IQ .F|RESHIELD1FR overVS1010 OUTLAND Haiken Box out and linGenuine Reclaimed Wood19mm lining

_\

AlternativeIowelT"ulsprzns/er’ I

'5O0r*Ir'i min

:2

terrace E’ ass­n 4»

pi

Grab rail Ioclose: duel90U"Iri'v ahoveIIDDV 7

Position lmsudinq doorGarden Bar

D02 3,200 x 4,400 _

‘UOOr'*iI~.\

730-"W

Er

E

E

PI ‘.3—il~oecni.iinenoe­n 9xN[ A +5`w 0’ W L II 300 loo i' Lmlfl C/EOMM .­in tree. ’5>0'“”Plan Elevation A

1,500 x 400

9,942

4 ISean oisilenscl lo be oasironca In inc zone over wasr. narid nasin our no: over laps

Bottom oi soap and Iowa‘ disnerlsers nelwecri 1030 and 1200mm abcve liaoi levcl

GD

3 (D— —bar/restaurant ­o — —*—

w <9CD

1,800 X 400

VENTILATION TABLEW01

4,400x3,20O _

....___._._..._.————

­Q GBTL120 II:I:I]

4‘_ / I I _ _ _ _R__ __D01

3­200 ’‘ 350° TOP­PLATE TO STUD FIXING DETAILS:For ALL exterior virail studs & Jack studs use:3/90x3.15 and nails + 2 wire dogsOR 4.7kN altemative fixing capacity­ ­ ­ WET AREA FINISHES:western Ba of Plen District Council

How‘ P|an Y Bc91:;7 BOTTOM PLATE FIXING Kim“,Scale ­ 1 : 100 Area: 148,3Bm? Comma Hoot Floor: ' Polished concrete sealed with safety step Clearcote

APPROVED Extemal Walls ­ Ramset As1215O Anchor bolls @ soo crs. max. Anti­slip resin to manufacturers specs & NZBC. . 55mm min from slab edge H D1­3­3¢ _ V _

These plans must remain on Slte. Extemal Wall Bracing Panels — See Gib. Manual June 2011 W8"53­ C°"'"95I 5mm HPWIGIEZS VIP" Lininglntemal Walls ~ Ramset HDB75 Driving Pins @ 600 crs. max. 6mm Vlllaboard Ceiling Lininglntemal Well Bracing Panels ­ See Gib. Manual June 2011+ L? L j 2 Bathroom.gNote: Pra­frame Manufacturer to allow for Floor: Polished concrete sealed with safety step Claarcote‘Ilrimming sizes around windows and doors. Anti­slip resin to manufacturers specs & NZBC’T""’*"T VET’ 77 "W 7 I 7" '7' E‘ F’? T 7 D1.3.3d.

I xN[ A Koy6 I xN[ A K y H @ 4 K y a xN[ A Kay xN[ A K y a I Walls & Ceiling: 6mm HardiGIaze Wall Lining

Axis entrance mat with t _ 6mm Wlaboard Ceiling Lininginfills for optimum dirt and fimshed "007 'eV°' Wm‘

U D I ­I 3 ­ to 0f frame All other floors:ALR4513 aluminium Se e 3‘ moisture removal p Floor: Polished concrete sealed with safety step Clearcote

, I Anli­slip resin to manufacturers specs 8. NZBCramping screwed to floor I D1_3_3d_

Vvalls 8. Ceiling: To GIB firewall manual or Gib Plasterboard( 10mm Walls13mm Ceilings) to all other areas.

NOTE:Kitchen Layout indicative only, see Kitchen manufacturersspecifications. All benchiops to the kitchen & Bathroom areas tobe impervious to moisture 8. easily cleanable.

1 PIOIECI Name Isneei Tiiie i IScoIo< ' I Progecl Slams 7 ghee‘ xN[ A ,m p ' ”T. II Lachhani Trustee Lid 1 Floor puan I Consenl _, ll 060.20

I Tavem, Restaurant 8. Shops I I % — T xN[ A k I P High xN[ A k @ (0~ .?'a:‘/‘NQTT.I 168 Omokoroa Road I xN[ A hhu| " 2Omokoroa I7oi 7Date oi;IIar.1a V D 17120 I

Inn-u i OIlgil'laID7awir\g size A3 ‘ ,l __i h S. , , ,_.The copyright of this drawing remains the property of PENN DESIGN LTD

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87.47!!! 90'1I'9"

V7

12.32m, 0“ 1D‘ 9"

Existing ' Existing ExistingUnit 1 A Unit 2 Unfl 3

Pr sed Tavem Proposed Shops Proposed ShopsOtlslde ol thll Conlent Guide at (til Conlent° Existing

Super LiquorUnit 4

l ' Qmlde olttih curled

§'"

$9,”,' 9).

v ,‘.9. LOT 2DPS 68500

11 2757.98m’10

5‘ 9

8

7

Sediment Control Plan

Sediment & run­ofi shall be designed & installed by the licensedbuilding practitioner priorto at during the earthworks & construction ofthe project. The sediment controls shall be installed in accordance withthe requirements of Environment Westem Bay Erosion & Sediment &_Guidelines for small sites. \ \

NZBC F5: Constniction and Demolition Hazards \ ~ %”Acceptable solution FSIAS1

1.0 Work Site Barriers1.0.1 The necessity for barriers will depend mainty on the site location.The need will be greater in areas iM’th high levels of pedestrian tratlic(ie in Central Business Districts), than in industrial or niral areas.Barriers are not y for domestic up to 2 storeys above

ground level unless specific hazards exist. _ _ _At all work sites hazard evaluation will take account at: we y of xN[ A p Dlstrlct counc"1 Pedestrian counts adjacent to the site. xN[ A G1 y xN[ A 4 |2. Carparking adjacent to the site. \3. Location of neighbouring buildings. \ xN[ A <vK|4. Presence of neighbouring work sites or recreation areas. ‘ \ _ _5. Proximity to schools or early childhood centres. \ _\ These plans must remain on site.6. Pmmity to housing.7. The depth of a water hazard.B. The period of time for which ponded water will ve present. ­9. The accessibility and 'visibility‘ oi the site. Site Plan

Scam: 1:250 "m.,,,,"o Pmiect Name Sheet Tine Sczies p'°l3d5'3'U51.0.2 If a work site is not completely enclosed, and unauthorised entry e Lachhani Trustee Ltd. site p|an C°n59"i 029,20by children is likely, it is acceptable for specific hazards to be lenced . Tavem, Restaurant 8. Shops OW” J wmhmpw" ­

only when workers are absent from the immediate vicinity. i . xN[ A k n 153 Omokoroa Road ' °'"‘”‘"9 “$7120L | archuacture Omokoroa Ongml Dmmg sue A3 Pint Dale 14­Feb­18 ii

The copyright oi this drawing remains the property of PENN DESIGN LTD.

i

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$2 Western Ba y of PlentyFFDPiF ­ FlAl­i ­ PROGFIFSS

Western Bay of Plenty District CouncilCertificate of Compliance Pursuant to Section 139

Resource Management Act 1991

1. Applicant KLM Enterprises Ltd

2. Location of Property Shop 6 — 168 Omokoroa Rd, Omokoroa

3. Legal Description Lot 2 DPS 68500

4. Zone Commercial

5. District Plan Western Bay of Plenty Operative District Plan2012

6. Description of Activity To sell liquor onsite. One Licence applicationunder the Sale and Supply of Alcohol Act 2012,for the premises “Tavern Style”. The hours ofoperation: Monday to Sunday 9am to 1am.

7. Statement of Compliance

On 24 May 2018, the day this application was received, the activitydescribed above is a discretionary activity under the Western Bay of PlentyOperative District Plan (Rule 19.3.2(d)), the relevant provisions of whichare beyond the stage they can be affected by submission or appeal.[Note: Please ensure you comply with the land use consent RC10875

i Jod chuurman Approved under“ R source Management Technical

AdvisorP/1207/3179/2 . . . . . . . . . . . . . . ..........................

ID: 11037 Chris Watt

20 June 2018 Environmental Consents jianagerDate: ........xN[ A Cq xN[ A Cq

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18"‘ May 2018

The SecretaryDistrict Licensing CommitteeAuckland CouncilP O Box 92‐300AUCKLAND 1142

Dear Sir

APPLICATION FOR A LIQUOR LICENCE:KLM ENTERPRISES LIMITED

Lachhani Trustee Limited as trustee of Lacchani Family Trustis the owner

of premises located at Shop 6, 168 Omokoroa Road, Omokoroa.

The premises will be occupied by KLM Enterprises Limited.

As owner of the premises, we have no objection to the granting of anyliquor licenceissued under or the Sale and Supply of Alcohol Act 2012.

Yours sincerely

. _o« Cg­\g%3’Y'70

Pp Lachhani Trustee Limited as trustee of Lacchani Family Trust

K0: nn it/3 ix w \_4__

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SNACKS

BEER BATTERED FRIES WITH GARLIC AIOLI

ONION RINGS WITH MAYOGARLIC BREAD WITH GARLIC & BREAD

CRISPY SALYT 8: PEPPER SQUID WITH TARTARE SAUCE

CHICKEN WINGS WITH BBQ SAUCE

KUMARA FRIES WITHCHILLE &SOUR CREAMHOUSE MADE TPASTED FLAT BREAD SERVED WITH HUMMUS & PESTO

SALADS

CHICKEN CEASER

THE ONLY VEGAN SALADTHAI BEEF SLAD

PRAWNS &MANGO

BURGERS

SAY CHEESE BURGER

CHICKEN BOK BOK BURGER GURGER

VEGERTERIAN SLAD BURGER

FILLET O FISH

HOGGING PORK BURGER

DINNER TIME FROM 4 PM

FRESH FROM THE BOAT

pan—fried salmon with butter,gar|ic mash & salad

CHIACKEN OMOKOROA

crispy fried crumbed chicken breast with mozzarella,chefs secret tomato sauce,garlic mash & salad

T BONE STEAK

400gms of grilled T bone with crispy fries,slad andchoice of creamy mushroom or garlic butter

PORK RIBS

pork ribs made with bbq sauce with chips & chitpotle slaw

FOR THE VEGGIES

mashed patatoes,roasted mushrooms,seasonaI char grilled vegesand crispy halloumi dressed with chimchurri sauce

$9.00

$9.00

$9.00

$12.00

$12.00

$12.00

$15.00

$18.00

$16.00

$35.00

$28.00

$35.00

$35.00

$23.00

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BEERS

TAP BEER GLASS

MACS GOLDSTELLA ARTIOS

SPEIGHTS GOLD

MACS CLOUDAY APPLE CIDER

BIG BOTTLES

WAIKATOTUI

LION RED

SPEIGHTS GOLD

BOTTLES

CORONASTEINLAGER CLASSIC

STEINLAGER PURE

STENLAGER MIDSTELLA ARTIOS

TIGER

HEINEKEN

ASAHI SUPER DRY

MACS RANGEMONTIS RANGE

CIDER

ISAC PEAR CIDER

MONTIS APPLE CIDER

ZEFFER APPLE CIDER

CRAFTY OPTIONS

PANHEAD RANGEGARAGE PROJECT HAPI DAZE PALE ALE

GARAGE PROJECT HOPS ON POINTELIBERTY HALO PILSNER

LIBERTY OH BROTHER PALE ALE

LIGHT BEER

HEINEKEN LIGHT 2.5%

AMSTEL LIGHT 2.5%

$8.00

$9.00

$8.00

$8.00

$9.00

$9.00

$9.00

$9.00

$3.00

$8.00

$8.00

$8.00

$8.00

$3.00

$9.00

$9.00

$8.00

$8.00

$8.00

$8.00

$9.00

$11.00

$13.00

$13.00

$11.00

$11.00

$8.00

$8.00

.IUG

$35.00

$40.00

$35.00

$35.00

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BIRRA MORRETI 0%

NON ALCI­IOLIC

SOFT DRINKS

GINGER BEER

JUICES

RED BULL

$8.00

$3.50

$4.50

$4.50

$5.00

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WINES

BOTTLECHAMPAGNE

G.H.MUMMVEUVE CLICQUOTMOET CHANDONBOIILNGER

DOM PERIGHNON

METHODE

DEUTZ

CLODAY BAY PERLOUS

SAUVIGNON BLANC

WITHER HILLS

MT DIFFICULITY

JULES TAYLOR

ELEPHANT HILL

DOG POINT

PINOT GRIS

THE NED PINOT GRIS

MOUNT DIFFICULITY PINOT GRIS

MONTANA RESERVE.IULES TAYLOR

CHRDONNAY

MONTANA RESERVESPY VALLEY

MATAWHERO

$90.00

$110.00

$130.00

$150.00

$390.00

$60.00

$65.00

$30.00

$50.00

$55.00

$40.00

$60.00

$43.00

$58.00

$40.00

$50.00

$40.00

$50.00

$55.00

$18.00

21

$12.00

$14.00

$8.00

$11.00

$9.00

$10.00

$9.00

$9.00

$10.00

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wmes

BOTTLE

ROSE

MONTANA RESERVE $40.00NED $50.00ARROGANT FROG $40.00WIHER HILL PINOT ROSE $40.00

PINOT NOIR

MONTANA RESERVE $45.00MT DIFFICULITY $50.00ROACKBURN $80.00RUA $60.00BLACK corms: $50.00NED $55.00

CABERNETS AND MERLOT

BROOKFIELDS $50.00MONTANA RESERVE MELOT $40.00STOLNELEIGH MERLOT $40.00CHURCH ROAD MERLOT CAB SAV $50.00

SHIRAZ

ARROGANF race SYRAH $50.00SHOT IN THE DARK $40.0030 MILES $40.00

CARAVAN PETIT SYRAH $55.00

PREMIUM SPIRITS

WE STOCK AN EXTENSIVE RANGE OF WORLDS FINEST SPIRITS

FOR FURTHER INFORMATION ASK OUR TAFF OR REVIEW OUR BACKBAR

GLASS

$9.00

$9.00

$8.00

$9.00

$11.00

$8.00

$8.00

$11.00

$10.00

$9.00

$9.00

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THE LOCAL'S TAVERN BAR & EATERYSocial Responsibility Policy

Free water is available at all times.

We have lots of delicious food availableJust ask us!

We have a large selection of non—alcoholicbeverages & lite beer.

We will request identification from any one thatlooks under the age of 25

We will not serve minors

We will not serve intoxicated persons

We actively encourage you to take alternativeforms of transport home.

Alcohol will not be promoted in an irresponsiblemanner

We want you to have a safe and enjoyable time atTHE LOCAL'S TAVERN BAR & EATERY

From the Management and Staff

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Section 101Sale & Supply of Alcohol Act, 2012

KLM Enterprises Limited of Auckland (LicensedPremises Operator) has made application to theDistrict Licensing Committee at Western Bay ofPlenty for the issue of an On Licence in respect ofthe premises situated at Shop 6, 168 OmokoroaRoad, Omokoroa, known as The Local’s Tavern Bar& Eatery. The general nature of the business to beconducted is a tavern. The days on which, and thehours during which liquor is intended to be soldunder the licence, are Monday to Sunday from 9amto 1am the following day.

This application may be inspected during ordinaryoffice hours at the office of the Western Bay ofPlenty District Licensing Committee at 1484Cameron Road, Tauranga.

Any person who is entitled to object and whowishes to object to the issue of the applicationmay, not later than fifteen working days from 29”‘June 2018, file a notice in writing of the objectionwith the Secretary of the District LicensingCommittee at Private Bag 12­803 Tauranga MailCentre 3143.

No objection to the renewal of a licence may bemade in relation to a matter other than a matterspecified in section 131 of the Sale & Supply ofAlcohol Act 2012.

OUR REF: 3482­09 HOSPITALITY LICENSING LTD

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Certificate No. 022/CERT/6756/2017

Before the Secretary of the Western Bay of Plenty District Licensing Committee

SIMRANJEET SINGH

For Consideration

An application for renewal of a Manager's Certificate pursuant to Section 224 of the Sale and Supply of Alcohol Act 2012 from SIMRANJEET SINGH residing at 103 Solomon Street, Brookfield, Tauranga.

Decisions

The applicant has a Manager's Certificate No. 022/CERT/024/2016, which is due to expire on 23 March 2017.

SIMRANJEET SINGH is a manager at the OMOKOROA SUPER LIQUOR. There are no objections under Section 225 of the Act to renewal of this Certificate from the Licensing Inspector or the Police.

I am satisfied as to the matters to be considered in respect of Section 227 of the Act and grant a Manager's Certificate accordingly.

Application No: 6756

DATED at Tauranga on the 5 April 2017

Approved for Use on 21 January 2014

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'~ . ..·. ' ~ . ' . · -. ~ .

~~: ' -~r~ .. _. _ ... :. · .... · : , . ~ . :. . . . ·:· .:'" .. 't_ . . .... -

Certificate No. 022/CERT/6756/2017

Notice of Renewal of Manager's Certificate Section 226, Sale and Supply of Alcohol Act 2012

SIMRANJEET SINGH

Your Manager's Certificate is renewed.

Subject to the requirements of the Act relating to the payment of fees, and to the provisions of the Act relating to the suspension and cancellation of Manager's Certificates, this certificate shall expire on 23 March 2020 unless again renewed.

"' Western Bay of Plenty District Council

PEOPLE • PLAN • PROGRESS

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Liquor Licence - SASA 2012

Application No. LL 6756 Land Parcel ID: P/1207 /3179

Name of Applicant: SIMRANJEET SINGH

Premise: OMOKOROA SUPER LIQUOR

Type of Application: Renewal

Manager Type: GENERAL MANAGER

REFERRALS Date Referred Date Received

Inspector 23/02/17 (. 4 . )..£1 ')---

Police TGA 23/02/17 ) Lt to2J 11-

Copy to DLC Commissioner

Objective#

./Jr 1A'1-l~ ts

A2is

L.,c.,, 9),_0tl

'()ee., ~ ?-- LO I 't>

Any enquires contact Diane Stewart or Debbie Coulter

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6/27/2018

Pay a bill

Pay a bill ­ Kiwibank Internet Banking

0 Success! Your payment has been processed

Receipt

From account:

To account:

Start date:

Processing time:

Frequency

Amount:

Statement details

On your statementOn their statement

Make another transaction

https://www.ib.kiwibank.co.nz/pay-and-transfer/pay-receipt/-9223372036854245629

38—90l 6—O490l 64­00 Business Edge

WESTERN BAY OF PLENTY DISTRICT COUNCIL

27June 2018

You're on page 3 of 3

We send payments to other banks every hour between 9am and midnight on business days. Payments submitted after midnight, or ona weekend or public holiday. will be sent the next business day. Processing times for other banks may vary.

One—off payment

$816.50

Particulars Code Reference3482 — —KLM Enterprs Online Servi LLIC

1/1

52

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15. Check List — Please Tick I

3­ IMPORTANT — The application will not be accepted by the District LicensingCommittee until:

0 ALL questions on the application form have been answered in full.

0 ALL additional documentation as indicated below are attached to theapplication.

Please note that if any of the documents below have been filed with a previousapplication, you are required to file them again with this application.

b. ADDITIONAL DOCUMENTS REQUIRED

You need to apply for the Certificate ofThere is a $200.00

1. Original Certificate of Compliance.Compliance at the same time as you apply for your on licence.application fee.

2. Photograph or artist's impression of the front exterior of the premises.

9° Map indicating where the premises is located.4. Scale Plan of entire premises showing the layout of the premises including where any

tables and chairs will be located and outlining:

— The inside area used for consumption of liquor (this should include all areas patronsmay consume liquor).

­ Any outside area used for the consumption of liquor.

— Any footpath area used for the consumption of liquor (this must comply with theStreet use Bylaw).

­ Each area designation.

— Principal entrance/s.

Outline each area with a different coloured pen and provide a key to show which colourbelongs to each area.

5. Manager's certificate of person/persons intending to be the manager of the premises,or if this document has not been issued at the time of filing this application, the date themanager's certificate application was filed with the District Licensing Committee__________,._.W_,_.__l3ajesh Jagpal — 01/05/2018 and Manjeet Arora 06/06/2018

6. Host responsibility policy (examples of these are at the back of the Toi Te Ora PublicHealth questionnaire).

7. Menu (please note a breakfast menu may need to be included if your hours of operationreflect the need for this).

8. Where the applicant is not the owner of the building, a written statement fromthe owner to the effect that the owner has no objection to the grant of the licence. Thisletter must also include reference to any outside area/s to be licensed.

9. Where the applicant is a company, a copy of the Certificate of Incorporation.

formal partnershi.

iii Yes

lZ<J Yes

El Yes

YesEl

El Yes

I3 Yes

IXJ Yes

IX] Yes

Yes

Xi Yes

El No

NoE]

E] No

BN0

Hm I I. . II; FIE.filFIncorporation

12. This form must be accompanied by the prescribed fee, a deposit of $350.00 is payable0“ aPPIiC3ti°n­ Medium risk premise ­ $816.50 attached

c­ Have you completed the attached Toi Te Ora Public Health Questionnaire?

d. Have you signed and dated the form personally? Agent On behalf of Company

e­ Have you completed the Amenity and Good Order Questionnaire?

Kl Yes

Yes

[X Yes

Yes

I:lNo

|:lNo

Page 7 of 7

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Page 22: 35 - Western Bay of Plenty District › repository › libraries... · The period of time for which ponded water will ve present. - 9. The accessibility and 'visibility‘ oi the

Western Bay of Plenty District Council District Licensing Committee Hearing: Commencing 29 January 2019 Application No. LL 7264 for an ON Licence under Section 136, Sale and Supply of Alcohol Act 2012 - Applicant: KLM Enterprises Limited - Premise located at Shop 6, 168 Omokoroa Road, Omokoroa, trading as The Local’s Tavern Bar and Eatery

Supporting Information for Application