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
1. 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
1. Name of premises*
2. Postal address of premises or, if none, ordnance survey map reference or description*
3. Post town*
4. Postcode*
5. Telephone number at premises (if any)
6. Premises licence number/club premises certificate number*
7. Brief description of the premises *
  Please read guidance note 2.
8. Please upload copy of plan
  Permitted file types: JPEG, PNG, PDF. Maximum file size: 2MB

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