Change of Premises name

Change of name of premises on a Premises Licence
Fields marked with * are required
I wish to notify the Licensing Team at Breckland Council of the change of Name of a Premises
Premises name details
1. Premises previous name*
2. Premises new name*
3. Date effective from (DD/MM/YYYY)*
Premises Details
1. Please enter the premises address postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address. If the address isn't found, please enter address manually
2. Postcode:
4. Address box:
5. Address 1*
6. Address 2
7. Town*
8. Postcode *
9. Premises licence number*
10. Please return the premises licence, or relevant part of it to Licensing Team, Breckland Council, Elizabeth House, Walpole Loke, Dereham, NR19 1EE
11. I will return the premises licence *
  
  Yes
  
  No
12. If you have not enclosed the premises licence referred to above please give the reasons why not.

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