Item 4 - 0003 - Scotmid - Major Variation Application Redacted
West Dunbartonshire Council · 5 September 2023
Back to Licensing Board — 5 September 2023 and its agenda
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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. Scotmid 165a Main Street Renton Alexandria Post Code G82 4PS Premises Licence Ref. No. WDLBPREM/0003 1(b) Please provide full name, address, postcode, telephone number and e-mail address of applicant. Scottish Midland Co-operative Society Ltd Hillwood House 2 Harvest Drive Newbridge Edinburgh Post Code EH28 8QJ Telephone No. E-mail address SECTION 2: MINOR VARIATIONS 2(a) Do you consider the proposed variation to be a minor variation? YES NO X (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) 2(c) Do you propose to restrict the terms on which children and young persons are admitted to the premises? YES NO (If the answer is YES, please give details of the proposed variation below)
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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 NO X (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 NO (If the answer is YES, please give 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))? NO (If the answer is YES, please give details of the proposed variation below) 3(b) Do you propose to vary any of the information contained in the operating plan contained in the licence? YES X NO (If the answer is YES, please give details of the proposed variation below) To insert the addition at Question 5(f) “Home delivery of groceries, including alcohol will be available subject to demand.” 3(c) Do you propose a variation to the layout plan contained in the licence? YES NO (If the answer is YES, please give details of the proposed variation below)
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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 give details of the proposed variation below) 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. Reference Number of Personal Licence PROPOSED PREMISES MANAGER 4(a) Name and telephone number Telephone No. 4(b) Date and place of birth 4(c) Contact address, including postcode Postcode 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
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