ࡱ> e pbjbj:: .Xg\Xg\nNNNNNbbbb\b $.}^h"""""""$7%'#N}}#NN#""""NN""""""!h""#0 $"(("(N"L"1"I]##  $(> : ARGYLL & BUTE LICENSING BOARD LICENSING (SCOTLAND) ACT 2005 APPLICATION FOR VARIATION OF PREMISES LICENCE/ PROVISIONAL PREMISES LICENCE* *Delete as appropriate If you are completing this form by hand, please write legibly in block capitals using ink. SECTION 1: APPLICANT INFORMATION 1(a) Name, address, postcode and premises licence number of premises.  FORMTEXT       Post Code FORMTEXT      Premises Licence Ref. No. FORMTEXT       1(b) Please provide full name, address, postcode, telephone number and e-mail address of applicant.  FORMTEXT       Post Code FORMTEXT      Telephone No. FORMTEXT      E-mail address FORMTEXT       SECTION 2: MINOR VARIATIONS 2(a) Do you consider the proposed variation to be a minor variation? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please complete the rest of Section 2. If NO, please go to Section 3) 2(b) Do you propose a variation to the layout plan which is not inconsistent with the operating plan for the Premises? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        2(c) Do you propose to restrict the terms on which children and young persons are admitted to the premises? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        2(d) Do you propose to vary the information contained in the licence relating to the premises manager, including variation to substitute a new premises manager? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please complete Section 4 below) 2(e) Do you propose any other variation as prescribed by Section 29(6)(d) of the 2005 Act? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        SECTION 3: OTHER VARIATIONS 3(a) Do you propose a variation to any of the conditions to which the licence is subject (other than those to which the licence is subject by virtue of Section 27(1))? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        3(b) Do you propose to vary any of the information contained in the operating plan contained in the licence? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        3(c) Do you propose a variation to the layout plan contained in the licence? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        3(d) Do you propose to vary any other information contained or referred to in the licence, including an addition, deletion or other modification? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is YES, please give details of the proposed variation below)  FORMTEXT        SECTION 4: VARIATION TO SUBSTITUTE NEW PREMISES MANAGER Please provide details below of the name, address and personal licence number of the Existing Premises Manager.  FORMTEXT        Reference Number of Personal Licence   FORMTEXT       PROPOSED PREMISES MANAGER 4(a) Name and telephone number  FORMTEXT        Telephone No.  FORMTEXT       4(b) Date and place of birth  FORMTEXT        4(c) Contact address, including postcode  FORMTEXT  >? # $ % ) * k l m w x  . 0 D F H Ⱒ❕₍tkaTajhvh5Ujhvh5Uhvh5CJaJjhvhUmHnHujhvhUjhvhUh /hvh5 hvh5h hvh5:CJ^Jhvh5:CJ^J hU+hvhhvh5:CJaJhvh5:CJhIhvh5:CJhvhh\wDhvh5CJ$^JaJ$hULk5CJ$^JaJ$ >?n  $ % k l       $If$a$  . V $Ifikdt$$Ifl7# t0644 laH R T V   " 6 8 : D F H f h | гЯᯟy؟njhvhUjhvh5UjhvhUmHnHujhvhUjhvhUh /hvh5hvhjh?cUmHnHujfh?cUh?cjh?cUhvh5CJaJ hvh5jhvh5Ujhvh5UmHnHu) n GEEE???$Ifkd$$IflT\#B t0644 lap(  H f nkd%$$IflT# t044 lap $If | ~  f l n p E@CDESTUXYZhij}   ,.ڿڴڿکڿڞڿړ쏄ڏjh?cUh?cjahvhUjhvhUjyhvhUjhvhUjhvhU h?c5 hvh5hvh5:CJhvhjh?cUmHnHujh?cUjh?cU4 kd$$IflTֈ N#BH t044 lap< DEk$Ifgd?c`^ gd?c "$&(*,. ~` 0^`0hkdK$$Ifl#$ t0644 laytvh (.02NPRXZ\xz|.02<>L  0ʹj{ hvhUj hvhUj hvhU h?c5jh?cUmHnHuj h?cUjh?cUj4 hvhUjhvhUjhvhU hvh5h?chvh5~@BDFHJL}sii ^` 0^`0  ^` hkd $$Ifl#$ t0644 laytvh$If ^` /0 $If ^`P^P`    VX246^d:۾׏۾j!hvhUj6h?cUj hvhU h?c5jN hvhUhvh5:CJjh?cUmHnHujc h?cUh?cjh?cU hvh5hvhjhvhUj hvhU3VX8:~~xxxxx$If` 0^`0gd?chkd $$Ifl#$ t0644 laytvh   @Bxrr` ^` 0^`0gd?chkd$$Ifl#$ t0644 laytvh$If :<>fl <B۾ט۾j;hvhUjhvhUjh?cUjhhvhUjhvhU h?c5jh?cUmHnHuj h?cUh?cjh?cU hvh5hvhjhvhUjhvhU3    ^`hkd$$Ifl#$ t0644 laytvh$Ifw ^` 0^`0hkdR$$Ifl#$ t0644 laytvh$If`          " hkd%$$Ifl#$ t0644 laytvh$If`      >!@!v!x!|!~!!!!!!!!"""""$"&"("*"`"b""""Ļofhvh5CJaJ jh?c5CJUaJ%jh?c5CJUaJmHnHu jh?c5CJUaJh?c5CJaJjh?c5CJUaJhvh5CJaJ h?c5hvh5:CJjh?cUmHnHujh?cUh?cjh?cU hvh5hvh( @!v!x!z!|!!!!!!!!!!pkd$$IflT# t0644 lap $If!!"("*","`"b"""""fddddkd$$IflT0 #u t0644 lap x$Ifgd?c$If """"""""""######V#X#Z#n#p#r#|#~########$Z Z ZZ(Z*Z,Z@ZBZDZNZPZXZ~ZZZZZZZZ4[׻׫׻׻jgh?cUjnh?cUUjh?cU h?c5jh?cU hvh5jh?cUhvhhvh5CJaJhvhjh?cUmHnHujh?cUjh?cUh?c5"""""# x$Ifgd?c$Ifhkd*$$Ifl#$ t0644 laytvh####V#X###|||$If{kd$$Ifl0` # N t0644 laytvh###########ZZZ$Ifhkd$$Ifl#$ t0644 laytvh        Postcode  FORMTEXT       4(d) Email address  FORMTEXT        4(e) Details of Personal Licence held by Proposed Premises Manager Date of issue Name of Licensing Board issuing Reference Number of Personal Licence  FORMTEXT       FORMTEXT       FORMTEXT       (Please enclose a photostat copy of the Personal Licence if it was not issued by Argyll & Bute Licensing Board). 4(f) Is the variation to substitute a new Premises Manager to take effect during the application period? YES  FORMCHECKBOX  NO  FORMCHECKBOX  (If the answer is NO, please provide the proposed date from which the variation is to take effect).  FORMTEXT        DECLARATION BY APPLICANT OR AGENT ON BEHALF OF APPLICANT (If signing on behalf of the applicant please state in what capacity.) I confirm that the contents of this application are true to the best of my knowledge and belief. The application fee is enclosed. Signature & & & & & & & & & & & & & & & & & & & & & ..& & & & . (See Note 1 below) Date & & & & & & & & & & & & & & & & & & . Capacity APPLICANT / AGENT (delete as appropriate) If agent, please provide name, address, telephone number and email address: & ....................................... & & & & & & & & & & & & & & & & & & & & & ...& & & . & .......................................................... & .& & & & & & & & & & & & & & ...& & & . & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . I have enclosed the relevant documents with this application  please tick the relevant boxes Premises Licence (See Note 2) Operating Plan (see Note 3) Layout Plans (see Note 3) Planning certificate (See Note 3) Building standards certificate (See Note 4) Food hygiene certificate (See Note 4) Copy of Personal Licence  Notes Note 1: Data Protection Act 1988 The information you have supplied on this form will be used for the purpose for which you have provided it and any relevant procedures following from this. A full privacy notice, which provides information about your rights under data protection legislation and details about what will happen to your personal data, is attached for your information Note 2: The application must be accompanied by the Premises Licence to which the application relates, or if that is not practicable, a statement of the reasons for failure to produce the licence. Note 3: Where the proposed variation affects the current operating plan, please submit an operating plan including the proposed variations. Where the proposed variation affects the current layout plan, please submit 6 sets of plans showing the proposed new layout of the premises. Note 4: Applicants for variations involving structural alterations should submit the relevant Section 50 certificates with their application. ZZZ(Z*ZRZ x$Ifgd?c$Ifhkd$$Ifl#$ t0644 laytvhRZTZVZXZ~ZZZwq$If x$Ifgd?c{kd$$Ifl0` # N t0644 laytvhZZZZ4[6[R[T[[[[[$Ifhkd$$Ifl#$ t0644 laytvh 4[[[[[[[[\ \ \\"\$\&\0\2\4\6\J\L\N\X\Z\\]F]^^ ^"^$^@^B^D^J^L^N^j^l^n^^^<_>_R_ܿشܿةܿ䠛䈓}jJhvhUjhvhUjhvhU h?c5 hvh5hULkjh?cUjYh?cUjh?cUmHnHujh?cUh?cjh?cUhvhhvhhvhCJaJhvhhvh5CJaJ-[[ \4\\\^\qkkkk$IfkdR$$IflF(# t06    44 laytvh^\`\D]F]^p^r^:_<_qooe[UOI$If^` ^` 0^`0kdE$$IflF(# t06    44 laytvhR_T_V_`_b_h_l____j`l`n`p`6ataxaaaa.b>bDbVbXbZb\bb2c4c6cccc8d>dddde&eReTejelejflfnfffffվվںڲڮڪ՞ڮڮڪڪڪڒՊՂՂhvhhULk5hvhhvh5h\oh{7hIh4P]hvh5CJaJhULkhh3Shvh5h+-hbhvh5 hvh5>*hvh5:>* hvh5hvhjh?cUmHnHujh?cUjh?cU3<_d_f_h_j_l___n`p`2a4avaxaaa hkd4 $$Ifl#$ t0644 laytvh$Ifa,b.bbb2c4ccjddeTeVeXeZe\e^e`ebedefehejelene*f,f$If X,f.fjflfnf$Ifwkd $$Ifl#$  t 0644 lap ytvhnfpfffftnnn$Ifkd=!$$Ifl0#    t 0644 lap ytvhffffftnnn$Ifkd!$$Ifl0#    t 0644 lap ytvhfff,g.g0ggggggghhhhh*h:hkllnopppӹӹӹӹh f5>*aJhvh5>*aJh fh? h? >* h? >* hvhaJ hvh5>*h!_hvh5>*hvhhvh5hvhhULk5 hvh5ff,g.g0gtnnn$Ifkde"$$Ifl0#    t 0644 lap ytvh0g2ggggtnnn$Ifkd"$$Ifl0#    t 0644 lap ytvhgggggtnnn$Ifkd#$$Ifl0#    t 0644 lap ytvhgghhhtnnn$Ifkd!$$$Ifl0#    t 0644 lap ytvhhhhh*h:hkltrrmrrrrrrrr$a$kd$$$Ifl0#    t 0644 lap ytvh llllnnooppppp ,1h. A!"#S$7% tDText6|$$If!vh#v$:V l7 t06,5tDText7vDText11$$If!vh#v,#vP #v#v :V lT t06,5B555p(vDText10$$If!vh#v$:V lT t05p tDText7tDText8vDText12$$If!vh#v-#v(#v7#v#vG#v` :V lT t0,5B55H555p<tDeCheck1tDeCheck2tDeCheck1tDeCheck2vDText13s$$If!vh#v$:V l t065$ytvhtDeCheck1tDeCheck2vDText14s$$If!vh#v$:V l t065$ytvhtDeCheck1tDeCheck2tDeCheck1tDeCheck2vDText15s$$If!vh#v$:V l t065$ytvhtDeCheck1tDeCheck2vDText16s$$If!vh#v$:V l t065$ytvhtDeCheck1tDeCheck2vDText17s$$If!vh#v$:V l t065$ytvhtDeCheck1tDeCheck2vDText18s$$If!vh#v$:V l t065$ytvhtDeCheck1tDeCheck2vDText19s$$If!vh#v$:V l t065$ytvhvDText20$$If!vh#v$:V lT t06,5p vDText21$$If!vh#v #v:V lT t06,55u pvDText22s$$If!vh#v$:V l t065$ytvhvDText23$$If!vh#v #vN:V l t065 5NytvhvDText24s$$If!vh#v$:V l t065$ytvhvDText25s$$If!vh#v$:V l t065$ytvhvDText26$$If!vh#v #vN:V l t065 5NytvhvDText27s$$If!vh#v$:V l t065$ytvh$$If!vh#v#v#v:V l t06555ytvhvDText28vDText29vDText30$$If!vh#v#v#v:V l t06555ytvhtDeCheck1tDeCheck2vDText31s$$If!vh#v$:V l t065$ytvh$$If!vh#v$:V l  t 065$p ytvh$$If!vh#v :V l  t 065 p ytvh$$If!vh#v :V l  t 065 p ytvh$$If!vh#v :V l  t 065 p ytvh$$If!vh#v :V l  t 065 p ytvh$$If!vh#v :V l  t 065 p ytvh$$If!vh#v :V l  t 065 p ytvh$$If!vh#v :V l  t 065 p ytvhs2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH D`D NormalOJQJ_HaJmH sH tH DA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List HH  Balloon TextCJOJQJ^JaJjj  Table Grid7:V0PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] nH | :"4[R_fp"&)<?E ~ !"##ZRZZ[^\<_a,fnfff0ggghlp !#$%'(*+,9:;=>@ABCDFGHIJKlx~COUgsy0@EU1=CJV\#3GSY > J P B N T - 9 ?  T ` f +1ams T`fvS_egsy{r nFFFTFFFFTG$G$G$G$FTG$G$FTG$G$G$G$FTG$G$FTG$G$FTG$G$FTG$G$FTFTFTFTFTFTFTFTFTFTFTFTG$G$FT8@0(  B S  ?Text6Text11Text10Text7Text8Text12Text13Text14Text15Text16Text17Text18Text19Text20Text21Text22Text23Text24Text25Text26Text27Text28Text29Text30Text31mDh2KH? C . U bUwTh|p VzD]ZQ U @ g 2t gfzp^ _ ++p33pB*urn:schemas-microsoft-com:office:smarttagscountry-region9*urn:schemas-microsoft-com:office:smarttagsplace p7@ $ikM O   p3333333331DJ]GZ> Q B U - @ T g 2at  TgvSfgz{mn$B &'OPkljmp1DJ]GZ> Q B U - @ T g 2at  TgvSfgz{mn$B &'OPkljmp   J fULk? ?cvh+-I\o{7np@yyy>>>TT T T T a aan@ @(@<@ "ZUnknownG.Cx Times New Roman5Symbol3. .Cx Arial5. .[`)TahomaA$BCambria Math"qhMeJ} /} /!Sx24aa3QHP ? J2!xx #West Dunbartonshire Licensing BoardDRooneyMacLean, Margaret (Legal) Oh+'0 4@ ` l x $West Dunbartonshire Licensing BoardDRooneyNormalMacLean, Margaret (Legal)7Microsoft Office Word@ա@|@.@ah} ՜.+,0$ hp  West Dunbartonshire Council/ a $West Dunbartonshire Licensing Board Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLNOPQRSTUVWXYZ[\]^_abcdefghijklmnopqrstvwxyz{|~Root Entry F$$hData MI%1Table`(WordDocument .SummaryInformation(uDocumentSummaryInformation8}MsoDataStore=h!h3ICMZFV==2=h!hItem  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q