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Section 1
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User Profile
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| Are you an agent acting on behalf of the applicant?: |
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| Are you: |
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Your Business
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| Is your business registered in the UK with Companies House?:
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| Is your business registered outside the UK?:
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Address
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Applicant Profile
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| Is the applicant: |
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The Applicant's Business
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| Is your business registered in the UK with Companies House?:
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| Is your business registered outside the UK?:
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Address
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Section 2
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Type of Application
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| 2.1 Type of Application:
If "new" go to 2.6
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| 2.2 |
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| 2.3 |
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| 2.4 Have any of the following changes been made to the premises since the previous licence was issued?:
For each one ticked, go to 2.5
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2.5
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| 2.6 Type of Licence required:
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Section 3
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Please read local guidance notes before completing this form
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Premises or Location for which licence is required
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| 3.1 |
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3.2
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| 3.3 |
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| 3.4 |
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| 3.5 |
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| 3.6 Is the location outdoors?: |
If no, go to 4.1
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| 3.7 |
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3.8
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Section 4
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Please read local guidance notes before completing this form
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Details of Premises or Location
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4.1
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4.2
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4.3
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4.4
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Section 5
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Please read local guidance notes before completing this form
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Opening Times
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5.1 Please give details of the days and times when the premises/location will be open for entertainment
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Entertainment to be provided
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| 5.2 Please indicate the type(s) of entertainment to be provided (please tick all that apply):
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Section 6
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Please read local guidance notes before completing this form
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Public Notice
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| Have you arranged for a public notice regarding this application to appear in a local newspaper?:
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Additional Details
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Remember to check local guidance notes and conditions for requirements in your area
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Section 7
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Remember to check local guidance notes and conditions for requirements in your area
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Payment Details
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Authority Postal Address
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Declaration
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