Democracy Spraffa

Item 4 - Asda Express - Provisional Application_Redacted

West Dunbartonshire Council · 17 June 2025
Back to Licensing Board — 17 June 2025 and its agenda

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Page 1

West Dunbartonshire Licensing Board
APPLICATION FOR PROVISIONAL PREMISES LICENCE*
*Delete as appropriate
Licensing (Scotland) Act 2005, section 20
APPLICANT INFORMATION Licensing (Scotland) Act 2005, section 20(1)
Question 1
Name, address and postcode of premises to be licensed.
ASDA EXPRESS PFS LOMONDGATE
LOMONDGATE DRIVE
WEST DUMBARTONSHIRE
G82 3BN
Question 2
Particulars of applicant
2(a) Where applicant is an individual, provide full name, date and place of birth, and home address
including postcode.

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2(b) Where applicant is a partnership, please provide full name, and postal address of partnership.
2(c) Where applicant is a company, please provide name, registered office and company registration
number.
ASDA EXPRESS LTD
ASDA HOUSE, SOUTHBANK, GREAT WILSON STREET LEEDS LS11 5AD
COMPANY NO;  04246195
2(d) Where the applicant is a club or other body, please provide full name, and postal address of club
or other body.
2(e) Where applicant is a partnership, company, club or other body, please provide the names, dates and
places of birth, and home addresses of connected persons.*
PLEASE SEE ATTACHED
* Connected person is defined in section 147(3) of the Licensing (Scotland) Act 2005.

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Question 3
Previous applications
3 Has the applicant been refused a premises licence under section 23 of the Licensing (Scotland)
Act 2005 in respect of the same premises?                          NO*
If YES – provide full details
Question 4
Previous convictions 
4      Has the applicant or any connected person ever been convicted of a
relevant or foreign offence (1)
NO*
*If YES – provide full details 
For the purpose of this Act, a conviction for a relevant offence or foreign offence is to be disregarded if it
is spent for the purpose of the Rehabilitation of Offenders Act 1974
Name &
position (if
applicable)
Date of conviction
or sentence
Court Offence Penalty
(1) In addition to any convictions held by the applicant at the time of application, applicants should also familiarise themselves with the
contents of section 24(1) of the Licensing (Scotland) Act 2005 in respect of any convictions for relevant or foreign offences which they
may receive during the period beginning with the making of the premises licence application and ending with determination of the
application.

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DESCRIPTION OF PREMISES Licensing (Scotland) Act 2005, section 20(2)(a)
Question 5
5 Description of premises (where application is submitted by a members’ club, please also complete
question 6)
CONVENIENCE STORE / PETROL FILLING STATION
Question 6
6 To be completed by members’ clubs only
Do the club’s constitution and rules conform to
the requirements of regulation 2 of the
Licensing (Clubs) (Scotland) Regulations
2007?
YES/NO* 
* Delete as appropriate
DECLARATION BY APPLICANT OR AGENT ON BEHALF OF APPLICANT
If signing on behalf of the applicant please state in what capacity.
The contents of this Application are true to the best of my knowledge and belief.
……… * (see note below)
Date …………………………………………
Capacity …SOLICITORS FOR THE APPLICANTS      /AGENT (delete as appropriate)
Telephone number and email address of signatory … …………………
1ST APRIL 2025

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I have enclosed the relevant documents with this application – please tick the relevant boxes
Operating plan X
Layout plan X
Planning certificate X
Building standards certificate
Food hygiene certificate
* Data Protection Act 1998
The information on this form may be held on an electronic public register which may be available to
members of the public on request.
Contact Us:
West Dunbartonshire Licensing Board
Council Offices
16 Church Street
Dumbarton
G82 1QL
Phone: 01389 738741
Email: licensing@west-dunbarton.gov.uk

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