Notice of Publication for Sex Establishment Licence Application
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Notice of Publication for Sex Establishment Licence Application
Proposed Licensee Details
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street
* Town
County
* Postcode
Contact telephone number
Email address
Premises Details
* Business name
* Building name/number
* Street
* Town
County
* Postcode
Telephone number
Email address
Details of Publication Notice
Date notice affixed
Place noticed affixed
Describe the part of the premises or other nearby location upon which the notice was affixed
Date notice advertised
Publication notice advertised in
Area publication circulated in
Declaration
I certify that

1.on the day (date notice affixed above) I affixed a copy of the notice shown overleaf upon the
  (place noticed affixed above), being a place where the notice could conveniently be read by the   
  public and that the said notice was kept displayed as aforesaid for 21 days thereafter;

2.on the day (date notice advertised above) I caused a copy of the notice shown to be published in
   the (publication notice advertised in above) being a local newspaper circulating in the (Area 
   publication circulated in above) the relevant extract from which is attached hereto.



Signed ...............................................................................


Name.................................................................................


Date...................................................................................


Please Note: This certificate is sent to the licensing authority following expiry of the notice period.
This form must be signed and presented to the licensing section before a decision is made and the licence may be granted. Either print off the completed form, sign and post to the licensing department or attend council offices to sign after you have submitted the form online.
Data Protection Act 1998
padlock 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