Notification of Change of Name or Address of Premises Licence Holder

SSDC - Privacy Statement on Handling of Personal Information

To: South Somerset District Council, being the Licensing Authority
Of: The Council Offices, Brympton Way, Yeovil, Somerset, BA20 2HT

I,we
Full Name(s) *
Of:
Address *
The premises licence holder in respect of premises known as (existing name):
Premises Name *
At: *
hereby notify you of a change of my/our name and/or address namely:
New Name(s): *
New Postal address: *
Telephone number: *
*I will send the appropriate part of the Premises Licence to the address below. *

The fee for this application is £10.50
Licensing Authority contact details:
Licensing Service
South Somerset District Council
The Council Offices
Brympton Way
Yeovil
Somerset
BA20 2HT

Telephone: 01935 462462
A person commits an offence if he fails, without reasonable excuse, to comply with a requirement of section 33 of the Act. A person guilty of an offence under subsection 33(6) of the Act is liable on summary conviction to a fine not exceeding level 2 on the standard scale.