Notification of surrender of premises licence

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

Full Name(s) *
Address *
being the holder(s) of a premises licence dated:
Date *
in respect of premises known as:
Name: *
hereby give notice that I/we wish to surrender the said premises licence.
I will send the appropriate part of the Premises Licence to the address below. *

Licensing Authority contact details:
Licensing Service
South Somerset District Council
The Council Offices
Brympton Way
BA20 2HT

Telephone: 01935 462462