Apply for a Minor Variation Application for a minor variation to a premises licence or club premises certificate under the Licensing Act 2003 Fields marked with * are required Before completing this form please read the guidance notes, especially Note 1 Applicant declaration I/we being the premises licence holder(s)/club holding a club premises certificate, apply to vary a premises licence under section 41A/club premises certificate under section 86A of the Licensing Act 2003 for the premises described in Part 1 below* Please provide full name(s) of applicant(s) Part 1 – Premises details Name of premises* Postal address of premises or, if none, ordnance survey map reference or description* Post town* Postcode* Telephone number at premises (if any) Premises licence number/club premises certificate number* Brief description of the premises * Please read guidance note 2. Please upload copy of plan Permitted file types: JPEG, PNG, PDF. Maximum file size: 2MB Next Page Last updated: 23/05/2024 12:37:02
