LONDON BOROUGH OF EALING. LICENSING ACT 2003
NOTICE OF APPLICATION FOR NEW/VARIATION*
PREMISES LICENCE / CLUB CERTIFICATE*
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Has applied to Ealing Council for new/variation of a premises licence / club premises certificate* for:-
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Name of premises
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Address of Premises
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The proposed variation/application is as follows:
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The Council’s licensing register can be accessed online by visiting http://www.ealing.gov.uk/info/200063/licences_and_street_trading Any person wishing to submit representations to this application must give notice in writing to Licensing Team, Perceval House, 14-16 Uxbridge Road, Ealing, W5 2HL. Tel: 020 8825 6655. Email: licensing @ealing.gov.uk.
(E)_________________/______________/200_____________
NOT LATER THAN
Dated this __________day of ________________________200___
Signed_________________________________________________
Note 1: Representations must relate to one or more of the four licensing objectives.
Prevention of crime and disorder
Public safety
Prevention of public nuisance
Prevention of children from harm
Note 2: Anonymous representations cannot be accepted.
Note 3: Copies of representations will be included in reports to the licensing sub-committee and therefore will pass into the public domain
Note 4: It is an offence liable on conviction to a fine up to level 5 (£5’000) on the standard scale under section 158 of the Licensing Act 2003 to knowingly or recklessly make a false statement in connection with this application
*Delete as appropriate
Print legibly in indelible ink or type in a font size equal or larger than 16 point.
Premises licence/Club premises certificate* delete as appropriate
Insertions
Name of applicant or club
Name of premises
Address of premises
Summary of proposed variations
Deadline for submission of representations
This is 28 consecutive days after the day on which the application was submitted to the council. The notice shall be displayed throughout this period.
Display of notice
The completed notice shall be displayed prominently at or on the premises to which the application relates where it can be conveniently read from the exterior. In the case of premises 50 Meters square (2’500m2) a further notice in the same form shall be displayed every 50 metres along the perimeter of the premises abutting the highway.
Colours of Display
The regulations specify that the notice shall be light blue in colour and at least A4 in size. So if using copies, or downloads ensure that you print on appropriate paper/card. The council licensing team will be pleased to send you notices on request.
10 PATERNOSTER SQUARE LONDON EC4M 7LS TELEPHONE 020 7797
10 PATERNOSTER SQUARE LONDON EC4M 7LS TELEPHONE 020 7797 1000 WWWLONDONSTOCKEXCHANGECOM 29 SEPTEMBER 2008 SERVICE
12TH FLOOR 207 OLD STREET LONDON EC1V 9NR
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