Item 5 - REDACTED - Stevie's Super Save - Application for Variation of Premises Licence - 1 November 2022
West Dunbartonshire Council · 1 November 2022
Back to Licensing Board — 1 November 2022 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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WEST DUNBARTONSHIRE 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. Stevie's Super Save 46 Beeches Road Duntocher Clydebank Post Code IG81 6HW IPremises Licence Ref. No. IWDLBPREM/0015 1(b) Please provide full name, address, postcode, telephone number and e-mail address of a licant. Mazher Rasheid Telephone E-mail Postcode - No. address SECTION 2: MINOR VARIATIONS 2(a) Do you consider the proposed variation to be a minor variation? YES □ NO [81 (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 □ NO □ (If the answer is YES, please give details of the proposed variation below)
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2(c) Do you propose to restrict the terms on which children and young persons are admitted to the premises? YES ONO 0 (If the answer is YES, please aive details of the proposed variation below) 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? (If the answer is YES, please complete Section 4 below) YES ONO 0 2(e) Do you propose any other variation as prescribed by Section 29(6)(d) of the 2005 Act? YES ONO 0 (If the answer is YES, please qive details of the proposed variation below) 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 ONO [8J (If the answer is YES, please aive details of the proposed variation below)
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3(b) Do you propose to vary any of the information contained in the operating plan contained in the licence? YES ~NO □ (If the answer is YES, please qive details of the proposed variation below) Core times for sale of alcohol for consumption off the premises shall be:- 10.00am to 10.00pm each day 3(c) Do you propose a variation to the layout plan contained in the licence? YES □ NO~ (If the answer is YES, please oive details of the proposed variation below) 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 □ NO~ (If the answer is YES, please qive details of the proposed variation below)
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SECTION 4: VARIATION TO SUBSTITUTE NEW PREMISES MANAGER Please provide details below of the name, address and personal licence number of the Existinr:1 Premises Manai:1er. Reference Number of Personal Licence I PROPOSED PREMISES MANAGER 4(a) Name and telephone number Telephone No. I Date and place of birthI4(b) 4(c) Contact address, including postcode Postcode I 4(d) Email address 4(e) Details of Personal Licence held by Proposed Premises Manager Date of issue Name of Licensing Board issuing Reference Number of Personal Licence (Please enclose a photostat copy of the Personal Licence if it was not issued by West Dunbartonshire Licensing Board). 4(f) Is the variation to substitute a new Premises Manager to take effect during the application period? YES □ NO □ (If the answer is NO, please provide the proposed date from which the variation is to take effect).
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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 i Signature Date ....... ... .. ... . (See Note 1 below) Capacity AGENT 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) Plannina certificate (See Note 4) Buildina standards certificate (See Note 4) Food hygiene certificate (See Note 4) Coov of Personal Licence Notes Note 1: Data Protection Act 1998 The information in this form will be used to update the relevant Premises Licence. Accordingly, the information contained in this form may be held on an electronic public register which may be available to members of the public on request. 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. Data Protection Act 1998 The information in this form will be used to update the relevant Premises Licence. Accordingly, the information contained in this form may be held on an electronic public register which may be available to members of the public on request.
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Contact Us: West Dunbartonshire Licensing Board Phone: 01389 738741 Council Offices Email: licensing@west-dunbarton.gov.uk 16 Church Street Dumbarton G821QL