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Page 1 of18 SOUTH LAKELAND DISTRICT COUNCIL Public Health & Licensing Group, South Lakeland House, Lowther Street, Kendal, Cumbria LA9 4UD Tel: 0845 050 4434 Fax: (01539) 740300 www.southlakeland.gov. uk e-mail: [email protected] .uk Appllcatlon to vary a premises licence under the Licensing Act 2003 PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST Before completing this form please read the guidance notes at the end of the form. If you are completlng this form by hand please write leglbly in block capitals. In all cases ensure that your answers are inside the boxes and written in black ink. Use additional sheets if necessary. You may wish to keep a copy of the completed form for your records. I/We Lisa Jane Holden (Insert name(s) of applicant) being the premises licence holder, apply to vary a premises licence under section 34 of the Licensing Act 2003 for the premises described in Part 1 below I Premises licence number PL(A)028255 Part 1 - Premises Details Postal address of premises or, if none, ordnance survey map reference or description Hapimag Burnside Park The Lodge Burnside Park Kendal Road Post town I Bowness on Windermere I Postcode I LA23 3EW Telephone number at premises (if any) 01539446624 Non-domestic rateable value of premises £ 16750 October 2012
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SOUTH LAKELAND DISTRICT COUNCIL Public Health Licensing … · 2019-03-21 · SOUTH LAKELAND DISTRICT COUNCIL . Public . Health & Licensing Group, South Lakeland House, Lowther Street,

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Page 1: SOUTH LAKELAND DISTRICT COUNCIL Public Health Licensing … · 2019-03-21 · SOUTH LAKELAND DISTRICT COUNCIL . Public . Health & Licensing Group, South Lakeland House, Lowther Street,

Page 1 of18

SOUTH LAKELAND DISTRICT COUNCIL Public Health & Licensing Group, South Lakeland House, Lowther Street,

Kendal, Cumbria LA9 4UD Tel: 0845 050 4434 Fax: (01539) 740300

www.southlakeland.gov. uk e-mail: [email protected] .uk

Appllcatlon to vary a premises licence under the Licensing Act 2003

PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST

Before completing this form please read the guidance notes at the end of the form. If you are completlng this form by hand please write leglbly in block capitals. In all cases ensure that your answers are inside the boxes and written in black ink. Use additional sheets if necessary.

You may wish to keep a copy of the completed form for your records.

I/We Lisa Jane Holden (Insert name(s) of applicant)

being the premises licence holder, apply to vary a premises licence under section 34 of the Licensing Act 2003 for the premises described in Part 1 below

I Premises licence number PL(A)028255

Part 1 - Premises Details

Postal address of premises or, if none, ordnance survey map reference or description

Hapimag Burnside Park The Lodge Burnside Park

Kendal Road

Post town I Bowness on Windermere I Postcode I LA23 3EW

Telephone number at premises (if any) 01539446624

Non-domestic rateable value of premises £ 16750

October 2012

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Page 2 of 18

Part 2 - Applicant details

Daytime contact telephone number

01539446624

E-mail address (optional) [email protected]

Current postal address if different from premises address

Post town I I Postcode I

Part 3 • Variation

Please tick as appropriate Do you want the proposed variation to have effect as soon as possible? 12!Yes D No

DD MM YYYY If not, from what date do you want the variation to take effect? I DI ol q □1 □1 □1 □1 □I

Please describe briefly the nature of the proposed variation (Please see guidance note 1) I would like to change the sale of alcohol times from ending at 6pm to ending at 8pm during the week and Sundays to end at 8pm instead of 7pm as we will be holding a weekly quiz night for our residents.

If your proposed variation would mean that 5,000 or more people are expected to attend the premises at any one time, please state the number expected to attend: Part 4 Operating Schedule

October 2012

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Please complete those parts of the Operating Schedule below which would be subject to change if this application to vary is successful.

Provision of regulated entertainment Please tick all that apply

a) plays (If ticking yes, fill in box A) □ b) films (if ticking yes, fill in box B) □ c) indoor sporting events (If ticking yes, fill in box C) □ d) boxing or wrestling entertainment (if ticking yes, fill in box D) □ e) live music (if ticking yes, fill in box E) □ f) recorded music (if ticking yes, fill in box F) □ g) performances of dance (if ticking yes, fill in box G) □

anything of a similar description to that falling within (e), (f) or (g) h) (if ticking yes, fill in box H) □

i) Provision of late night refreshment (if ticking yes, fill in box I) □ j) Sale by retail of alcohol (If ticking yes, fill in box J) ~ In all cases complete boxes K, L and M

October 2012

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A

Plays Standard days and timings (please read guidance note 6)

Will lb~ 12~rforn:is!n~ of 2 l':!I2~ take (:!lace indoors or QutdoQm Q[ b21b - 121~§~ 1i~k (please read guidance note 2)

Indoors □

Outdoors □ Day Start Finish Both □ Mon Please give further details here (please read guidance note 3)

Tue

Wed §12~ e!J~ ~s!§QnsJ v2ri2tiQn§ for 1,2erforming i;ila:t§ (please read guidance note 4)

Thur

Fri Non standard timings. Wb~~ ~ou iate□~ 12 !,!S~ lh~ i;1remi§~ for the ~rformance Qt 1,215!~§ ~l diff~reat tim~s to th~ li§t~d in the column on the left, please list (please read guidance note 5)

Sat

Sun

October 2012

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B

Films Standard days and timings (please read guidance note 6)

Will the exhibition of films 1§~§ ~lace i!JQQQ[S QC outdoors or both - please tick (please read guidance note 2)

Indoors □

Outdoors □ Day Start Finish Both □ Mon Please give further details here (please read guidance note 3)

Tue

Wed State an~ seasonal variations for the exhibition of films (please read guidance note 4)

Thur

Fri ~2□ ~mlstlll liwiags. Where ~u intend to use the 12remises for the e2Sbibili2□ 2f films at s;fiff~u~nt times to tti2se listed in the column Qn the left, please list (please read guidance note 5)

Sat

Sun

October 2012

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C

Page 6 of18

Indoor sporting events Standard days and timings (please read guidance note 6)

Please give further details (please read guidance note 3)

Day Start Finish

Mon

Tue ~tate 2n~ l;leasonal variations for indoor s12orting events (please read guidance note 4}

Wed

Thur ~QD stand§cg 1imiD9§, Wb~~ ~Q!J itl~□Q 12 Id§~ tb~ ~~!Di~~ fQr indoor s12orting events at differe□l lim~ 12 1b2§~· lhil~ ia lb~ ~IYDJD on the left, 12lease list (please read guidance note 5)

Fri

Sat

Sun

October 2012

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D

Boxing or wrestling entertainments Standard days and timings (please read guidance note 6)

WIii the boxing or wrestling entertainm!i!□11s!~~ Qlace ingQo~ or Q!.!1Q2QOz Qr b!21b - '21~§~ tick (please read guidance note 2)

Indoors □

Outdoors □ Day Start Finish Both □ Mon Please give further details here (please read guidance note 3)

Tue

Wed State an:t §!i!s!§Qn21 Vi;!ri21iQn§ fQr boxing or wrestling entertainment (please read guidance note 4)

Thur

Fri Non stendard timings, Wber~ l£OU intend to use the gremises fQr boxing or wrestling entertainment at different times to those li§l!i!d in the column on the left, Qlease list (please read guidance note 5)

Sat

Sun

October 2012

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E

Live music Standard days and timings (please read guidance note 6)

Will the [!erformance of live music take place i[!dQors 2r 0!Jl!;!0Qrs or both - [!lease tick (please read guidance note 2)

Indoors □

Outdoors □ Day Start Finish Both □ Mon Please give further details here {please read guidance note 3)

Tue

Wed State an~ seasonal variations for the performance of li:ii::e [D!JSI~ (please read guidance note 4)

Thur

Fri NQn smndsm! timings. Where ~ou intend to use the premises for the perf2rrnan~ of live music at different times to those listed in the column on the left. please list (please read guidance note 5)

Sat

Sun

October 2012

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F

Recorded music Standard days and timings (please read guidance note 6)

Will the pla~lng of recorded music take 12lace Indoors or outdoors or both - pl~ase tick (please read guidance note 2)

Indoors □

Outdoors □ Day Start Finish Both □ Mon Please give further details here (please read guidance note 3)

Tue

Wed State an~ ~asonal v2ri2ligns for the 12la~iog Qf recocged !DY§i~ (please read guidance note 4)

Thur

Fri Non standard timings. Where :i'.OU intend to use the 12remlses for the 12la~ing of recorded music at different times to those llsted in the column on the left. please 11st (please read guidance note 5)

Sat

Sun

October 2012

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G

Perfonnances of dance Standard days and timings (please read guidance note 6)

~II• tt)e IU!!:f2[DJ!DC8 2f di!D~ Ilk! el!~ Indoors or outdoors or b21b - al1ue lisals (please read guidance note 2)

Indoors □

Outdoors □ Day Start Finish Both □ Mon Please give further details here (please read guidance note 3)

Tue

Wed Sy~ 1!!3£ 1ea12nal variations for the eerformance of dance (please read guidance note 4)

Thur

Fri Non standard timings. Where my IDllD~ 12 Yll lht emml1n f2r the eerformance of dance ag sHfflCIDI limn 12 U!2H li1l!!I in 1!!! column on the left, elease 11st (please read guidance note 5)

Sat

Sun

October 2012

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H

Anything of a slmllar Please give a description of the type of entertainment you will be description to that providing falling within (e), (f) or

Weekly Quiz night held once a week (g) Standard days and timings (please read guidance note 6)

Day Start Finish Will lbil IDllr::liiDm!DI lllse Hli!~I jn§!22!:! or Indoors □ 21dl5122CI 2[ ~lh - Rl!ne li~ls (please read □ Mon guidance note 2) Outdoors

Both □ Tue Please give further details here (please read guidance note 3)

Wed

Thur State an~ seasonal variations for entertalnm1al m ii 1lmil1c descrietion to that falling within (e}1 m or (g} (please read guidance note 4)

Fri

Sat Non standard timiD911 l!'.b!Cl l£21d iDl!Ds1 12 YH lhe 12!:!mi1u fgr the entertainment of a slmllar descrietlgn to lbll flllioe rtilbiD (el1 m or (el at different times to those llsted In the ~lumn on the left, please 11st (please read guidance note 5)

Sun

October 2012

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Late night refreshment Will the provision of lag night refrghmint

□ Standard days and takt plaSc! in~22!J! 2r SU!lsi22!J 2r lz21b - Indoors timings (please read please tick (please read guidance note 2) guidance note 6)

Outdoors □ Day Start Finish Both □ Mon Please give further detaJls here (please read guidance note 3)

Tue

Wed State ani seasonal variations for the provision of late night refreshment (please read guidance note 4)

Thur

Fri N2n §li!nsla!'.51 liming1. Whgm XS!!i! i!Jl!!lsl 12 Yll lhg ri!!:!mi111 fgr lb! prgvi1!2n 2f lam nighl rlfi:uhmgol id sliff1mnl timu1 12 lb211 li1WI ill lb! 5c21YmD 2D lbl Ida ri!l1111 ll1l (please read

Sat guidance note 5)

Sun

October 2012

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J

Supply of alcohol Standard days and timings (please read guidance note 6)

Will the supply of alcohol be for consumption - please tick (please read guidance note 7)

On the premises □ Off the premises □

Day Start Finish Both □ Mon 09.00 20.00 State ani seasonal variations for the sueeli of alcohol (please

read guidance note 4)

Tue 09.00 20.00

Wed 09.00 20.00

Thur v::,. 00 20.00 Non:1taadgrd ~mings. Wh!!J! ~Y inl52nd to 11se lb! e!!mi1g f2r the 1ueeli of 1lcohol at different timy 12 lh21e li11!2d in lhe column on the left. elease Ust (please read guidance note 5)

Fri 09.00 20.00

Sat 09.00 20.00

Sun 09.00 20.00

K

Please hlghllght any adult entertainment or services, activities, other entertainment or matters anclllary to the use of the premises that may give rise to concem In respect of children (please read guidance note 8).

None

October 2012

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L

Page 14ofl8

Hours premises are open to the public Standard days and timings (please read guidance note 6)

State any seasonal variations (please read guidance note 4)

Day Start Finish

Mon 09.00 20.30

Tue 09.00 20.30

Wed 09.00 20.30

N2n 1gn5la!!I liming1. Where you inl!nd the premi1!! t2 be 2g1n to the eyl;!lic at sliffe!!nl timg frgm thQH lisl!d in the coiumn on the left, please list (please read guidance note 5)

Th:.ir 09.00 20.30

Fri 09.00 20.30

Sat 09.00 1.::u.;:su

Sun 09.00 20.30

Please identify those conditions currently imposed on the licence which you believe could be removed as a consequence of the proposed variation you are seeking.

October 2012

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Page 16 of 18

d) The prevention of public nuisance

The Residents will be reminded to exit the building quietly as there are other residents in the area

e) The protection of children from harm Challenge 25 age verification policy will be used Accepted proof of age documents shall be limited to a current passport or driving licence or PASS hologram card No ID - No sale policy will operate at all times

Notices shall be displayed at point of sale All refusals will be recorded in a refusals book All staff will be trained in this policy

Checklist: Please tick to Indicate agreement

• I have made or enclosed payment of the fee . Er • I have sent copies of this application and the plan to responsible authorities and ~ others where applicable.

• I understand that I must now advertise my application . if • I have enclosed the premises licence or relevant part of it or explanation . G? • I understand that if I do not comply with the above requirements my application will be

~ rejected.

IT IS AN OFFENCE, LIABLE ON SUMMARY CONVICTION TO A FINE NOT EXCEEDING LEVEL 5 ON THE STANDARD SCALE, UNDER SECTION 158 OF THE LICENSING ACT 2003, TO MAKE A FALSE STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION.

Part 5 - Signatures (please read guidance note 10)

Signature of applicant (the current premises licence holder) or applicant's solicitor or other duly authorised agent (please read guidance note 11 ). If signing on behalf of the applicant, please state In what capacity.

Signature (Jlr21j_ - 4j l016 Date \4

Capacity Premises Licence Holder

Where the premises licence Is Jointly held, signature of 2nd applicant (the current premises licence holder) or 2nd applicant's sollcltor or other authorised agent (please read guidance note 12). If signing on behalf of the appllcant, please state In what capacity.

Signature

Date

October 2012

I

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Please tick as appropriate

• I have enclosed the premises licence (;?I • I have enclosed the relevant part of the premises licence □

If you have not ticked one of these boxes, please fill in reasons for not including the licence or part of it below

Reasons why I have not enclosed the premises licence or relevant part of premises licence.

M Describe any additional steps you Intend to take to promote the four licensing objectives as a result of the proposed variation:

a General - all four licensin ob'ectives b, c, d and e lease read uidance note 9

The measure I have in place will still be the same

bl The prevention of crime and disorder

The measures I have in place will be the same CClV Cameras cover external reception area Any incidents of crime or disorder will be recorded and reported tot he police

Any recorded incidents will be available for inspection on production of a written

request under the Data Protection Act 1998

c} Public safety

The measures I have in place will be the same

October 2012

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Page 17 ofl8

I Capacity

Contact name (where not previously given) and address for correspondence associated with this application (please read guidance note 13)

Posttown I I Postcode I Telephone number (If any) I If you would prefer us to correspond with you by e-mail, your e-mail address (optional)

Notes for Guidance

This appllcatlon cannot be used to vary the licence so as to extend the period for which the licence has effect or to vary substantially the premises to which It relates. If you wish to make that type of change to the premises licence, you should make a new premises licence appllcatlon under section 17 of the Licensing Act 2003.

1. Describe the premises. For example the type of premises, its general situation and layout and any other Information which could be relevant to the llcenslng objectives. Where your applicatlon Includes off-supplies of alcohol and you Intend to provide a place for consumption of these off-supplies, you must lndude a description of where the place wlll be and its proximity to the premises.

2 . Where taking place in a building or other structure please tick as appropriate (indoors may include a tent).

3. For example state type of activity to be authorised, if not already stated, and give relevant further details, for example (but not exclusively) whether or not music will be amplified or unamplified.

4. For example (but not exclusively), where the activity will occur on additional days during the summer months.

5. For example (but not exclusively), where you wish the activity to go on longer on a particular day e.g. Christmas Eve.

6 . Please give timings In 24 hour clock ( e.g. 16:00) and only give details for the days of the week when you intend the premises to be used for the activity.

7. If you wish people to be able to consume alcohol on the premises, please tick 'on the premises'. If you wish people to be able to purchase alcohol to consume away from the premises, please tick 'off the premises'. If you wish people to be able to do both, please tick 'both'.

8 . Please give information about anything intended to occur at the premises or ancillary to the use of the premises which may give rise to concern in respect of children regardless of whether you Intend children to have access to the premises, for example (but not exclusively) nudity or semi-nudity, films for restricted age groups or the presence of gaming machines.

9. Please list here steps you will take to promote all four licensing objectives together. 10. The application form must be signed. 11. An applicant's agent (for example solicitor) may sign the form on their behalf provided

that they have actual authority to do so. 12. Where there is more than one applicant, each of the applicants or their respective agents

must sign the appllcatlon form. 13. This is the address which we shall use to correspond with you about this application.

October 2012

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Page 19: SOUTH LAKELAND DISTRICT COUNCIL Public Health Licensing … · 2019-03-21 · SOUTH LAKELAND DISTRICT COUNCIL . Public . Health & Licensing Group, South Lakeland House, Lowther Street,

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