Before completing this form – Do you know whether any exemptions apply to the activities you intend to offer? Do you have all the licences from the Council that you need?

To find out you could take advantage of our pre-application advice service. If you do require a licence you may also want to use our application assistance and check & send services to help you get your application right first time.

The fixed fees for our Licensing Direct services include VAT and cover the cost of administration and delivery and are not for profit.

Access these services by calling 0300 1234 212 and select the option for licensing. Alternatively, email us at licensing@cornwall.gov.uk and we will contact you. Our support services can help you save time and money.

Application 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 completing this form by hand please write legibly 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 Jasmine Caldwell

(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

Premises licence number

LI25_006310

Part 1 – Premises Details

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

Wasted Grapes Unit 1 The Cribbar Yard Bank Street

Post town Newquay Postcode TR7 1EP

Telephone number at premises (if any)

Non-domestic rateable value of premises £6000