Licensing representation form – Objection to pavement application

This form will ask you to provide the following information:

Name of applicant (if known) and premises name and address
Contact details
Reason(s) for representation

Please have this information ready as pages time-out after one hour.

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About the licence application details

Licence application(Required)

I wish to object to the following Pavement Licence application

Name of Applicant (if known)

Premises name(Required)

Premises address(Required)

Street Address Address Line 2 Town Postcode

Are you acting as a representative?(Required)

Yes

No

About you

Title(Required)

For example Mr, Mrs, Ms, Miss

Name(Required)

First Last

Postcode

Search Postcode

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address

Address(Required)

House name/House No./Flat no Address line 1 Address line 2 City Postcode

Email address(Required)

Enter Email Confirm Email

Contact telephone number(Required)

Representative details

I am(Required)

Representative of Residents Association

Representative of Trade/Business Association

Ward Councillor

MP

Other

Name of representative/organisation(Required)

Postcode

Search Postcode

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address

Address(Required)

House name/House No./Flat no Address line 1 Address line 2 City Postcode

Telephone number of representative/organisation(Required)

Please enter the email address of representative/organisation(Required)

Enter Email Confirm Email

Reason(s) for representation

Any representations that are considered to be frivolous or vexatious will not be accepted.

Please fill in the reason(s) for your representation in the space provided below.
You need to give as much detail as possible so that the Licensing Authority can assess the relevance of your representation.
Please attach any supporting documents/further pages as necessary.

Reason for representation(Required)

Please upload any supporting documents

Drop files here or

Max. file size: 50 MB.

Declaration

Declaration(Required)

I/we hereby declare that all information I have submitted is true and correct

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Staff ID

Licensing representation form – Objection to pavement application