Licensing Representation

Details of the premises this representation is about

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Details of person making the representation


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Representation details






Declaration
By submitting this form I declare that I have read the representation guidance notes and agree that a copy of my representation will be given to the premises licence holder.
I understand it is an offence to knowingly or recklessly make a false statement in connection with an application, punishable with a maximum fine of £5,000 on summary conviction.