layout of premises should also be included with your application) YES/NO Are you the owner of these premises (please delete as applicable) If NO, have you included a letter of If NO your application cannot be – consent from the of the premises processed such time as said YES/NO (this is required for use of land owned letter of consent is obtained and (delete as applicable) either privately or by a public authority) forwarded which permits you to use premises for your intended purpose: OR Please specify the days and times it is Days: Times: proposed that the premises will be open (24 hour format) Details of proposed operation: Carryout / Restaurant / Carryout only Type of Food to be sold: I declare I shall for a period of 21 days beginning with the date on which the application is submitted to the licensing authority display the for Posting” at or near the premises to be licensed. “Notice OR I declare that I am unable to display the for Posting” because I do not have such rights of access or “Notice other rights in respect of the premises as are required for me to do so, but that I have taken such reasonable steps as are open to me to acquire them. The steps I have taken to acquire these rights are: 8. Declaration and Information: I declare that the particulars given by me on this form are true and I hereby make application to Argyll and Bute Council for the grant of the licence applied for above. I understand that I, or any person who, in connection with the making of this application makes any statement which I/they know to be false or recklessly makes any statement which is false in a material particular shall be guilty of an offence and liable, on summary conviction, to a fine not exceeding £2500.00. I also confirm that, if granted a licence, I will comply fully with the conditions of that licence and have, previous to lodging this application, made myself familiar with the terms of Argyll and Bute Councils’ standard conditions pertaining to the licence. Signature of Note Please ensure your signature – Applicant: is within the marked box. Date: Notes: 1. Any form lodged which has not been fully completed will be considered incompetent and returned to the applicant.
layout of premises should also be included with your application) Are you the owner of these premises YES/NO (please delete as applicable) If NO, have you included a letter of consent from the of the premises (this is required for use of land owned either privately or by a public authority) which permits you to use premises for your intended purpose: YES/NO (delete as applicable) If NO – your application cannot be processed such time as said letter of consent is obtained and forwarded OR Please specify the days and times it is proposed that the premises will be open (24 hour format) Days: Times: Details of proposed operation: Carryout / Restaurant / Carryout only Type of Food to be sold: 8. I declare I shall for a period of 21 days beginning with the date on which the application is submitted to the licensing authority display the “Notice for Posting” at or near the premises to be licensed. OR I declare that I am unable to display the “Notice for Posting” because I do not have such rights of access or other rights in respect of the premises as are required for me to do so, but that I have taken such reasonable steps as are open to me to acquire them. The steps I have taken to acquire these rights are: Declaration and Information: I declare that the particulars given by me on this form are true and I hereby make application to Argyll and Bute Council for the grant of the licence applied for above. I understand that I, or any person who, in connection with the making of this application makes any statement which I/they know to be false or recklessly makes any statement which is false in a material particular shall be guilty of an offence and liable, on summary conviction, to a fine not exceeding £2500.00. I also confirm that, if granted a licence, I will comply fully with the conditions of that licence and have, previous to lodging this application, made myself familiar with the terms of Argyll and Bute Councils’ standard conditions pertaining to the licence. Signature of Applicant: Note – Please ensure your signature is within the marked box. Date: Notes: 1. Any form lodged which has not been fully completed will be considered incompetent and returned to the applicant.
civform_-_lhc_grant_4.docx