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The application must be submitted with the required supporting documentation
Please note that the Council may consider the application at a public meeting
Application fee of £91.00 must be submitted with the application

Licence Number

Address on Licence

Address

Address 2

City/Town

Post Code

Email Address

Home Telephone Number

Mobile \ Business Telephone Number

Please state amendment required

Supporting Documents

Maximum 5 files.
64 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, rtf, pdf, doc, docx, xls, xlsx.

Name of Licensee