Name of the premises you are making a representation about Address of the premises you are making a representation about Which of the four () Please detail the evidence supporting your licensing objectives representation, or the reason for your does your representation. Please use separate sheets if representation necessary. relate to? (Tick as appropriate) Prevention of crime & disorder Public safety Prevention of public nuisance Protection of children from harm
Name of the premises you are making a representation about Address of the premises you are making a representation about Which of the four licensing objectives does your representation relate to? (Tick as appropriate) () Please detail the evidence supporting your representation, or the reason for your representation. Please use separate sheets if necessary. Prevention of crime & disorder Public safety Prevention of public nuisance Protection of children from harm
guidance-representation-form-other-persons.docx