Address of 5.3.1 Property I/We declare that I/we have served a notice of this application on the following persons who are the only persons known to me/us that are required to be informed that I/we have made this application Name Address Description of the Date of interest in the service person’s 5.4.1 property or the application 5.4.2 5.4.3 5.4.4 5.4.5 5.4.6 Proposed Licence Holder’s Proposed Licence Holder’s Name Unique Reference Number (or Company Registration Number) 5.4.7 Signed Licence Applicant(s) Date: Please continue on a separate or photocopied sheet if necessary
5.3.1 Address of Property I/We declare that I/we have served a notice of this application on the following persons who are the only persons known to me/us that are required to be informed that I/we have made this application Name Address Description of the Date of 5.4.1 person’s interest in the property or the service application 5.4.2 5.4.3 5.4.4 5.4.5 5.4.6 Proposed Licence Holder’s Name Proposed Licence Holder’s Unique Reference Number (or Company Registration Number) 5.4.7 Signed Licence Applicant(s) Date: Please continue on a separate or photocopied sheet if necessary
web175-hmo-licence-application-form.docx