Licensing Review form

Before completing this form please read the guidance notes

Before completing this form, please read the guidance notes.
Application to review a premises licence under the Licensing Act 2003
Fields marked with * are required
Review Application
1. I (applicant name)*
2. apply for the review of*
  
  a premises licence under section 51 of the Licensing Act 2003
  
  a club premises certificate under section 87 of the Licensing Act 2003
3. for the premises described in Part 1 below
Part 1
1. Premises or club details - Postal address of premises or, if none, ordnance survey map reference or description
2. Name of Premises or Club*
3. Postal Address*
4. Post town*
5. Post code (if known)
6. Name of premises licence holder or club holding club premises certificate (if known)
7. Number of premises licence or club premises certificate (if known)

Last updated: 23/05/2024 12:35:20