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I, the proposed premises user, hereby give notice under section 100 of the Licensing Act 2003 of my proposal to carry on a temporary activity at the premises described below. |
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[ All text in the form must be in CAPITALS ] |
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1. The personal details of premises user
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Please enter details of any previous names or maiden names, if applicable. Click the 'Add' button to add a name and select delete to remove a name. |
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(We will use this address to correspond with you unless you complete the separate correspondence details below). |
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If you complete the details below, we will use this address to correspond with you. |
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Do you want to provide alternative address/contact for correspondence? *
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