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Licensing Act 2003 - Representation in respect of Premises Licence / Club Premises Certificate
 

Details of person or body making representation
 

Details of premises representation is about
 

Please tick one or more of the licensing objectives that your representation relates to:
 
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Please summarise your concerns about this application:
 

Please give further details of WHY you believe this application will have an adverse effect on the licensing objectives:
 
 
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