Apply to Vary a Premises Licence Application to vary a premises licence under the Licensing Act 2003 Before completing this form please read the guidance notes Fields marked with * are required Applicant declaration I/We being the premises licence holder, apply to vary a premises licence under section 34 of the Licensing Act 2003 for the premises described in Part 1 below* Premises licence Number* Part 1 – Premises details Postal address of premises or, if none, ordnance survey map reference or description* Post town* Postcode* Telephone number at premises (if any) Non-domestic rateable value of premises* None to £4,300, fee payable is £100 £4,301 and £33,000, fee payable is £190 £33,001 and £87,000, fee payable is £315 ££87,001 and £125,000, fee payable is £450 £125,001 or more, fee payable is £635 The Valuation Office Agency website can provide information on your rateable value Next Page Last updated: 23/05/2024 12:38:14
