Isle of Wight Council

LICENSING ACT 2003 ADVERTISEMENT

	An application for a	[Club Premises Certificate] [Premises Licence] (delete as appropriate)
	has been submitted by	(name of premises)
	for premises situated at:	(please enter address of premises below)

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode

to carry on the following licensable activities:

	(Activity)	(Days)	(Times)

Members of the public may inspect copies of the application, plan and other documents submitted between 8.30am to 5.00pm Monday to Thursday and 8.30am to 4.30pm Fridays at: Isle of Wight Council Licensing Section Jubilee Stores The Quay Newport Isle of Wight PO30 2EH

Any interested party (defined by Licensing Act 2003 Section 13) wishing to make representations regarding this application should do so in writing, sending all correspondence to the above address or by email to [email protected] all correspondence must be received no later than:

(add 29 days to the date you submit the application and insert that date here)

(dd/mm/yyyy)

	Failure to meet this deadline may jeopardise the chance of your comments being taken into account.
	It is an offence knowingly or recklessly to make a false statement in connection with an application and the maximum fine for which a person is liable on summary conviction is �5000.

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013