please read the following instructions first i/we · premium wines, spirits, cocktails and similar....

Application for a premises licence to be granted 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/We Four Degree Management Ltd (Insert name(s) of applicant) apply for a premises licence under section 17 of the Licensing Act 2003 for the premises described in Part 1 below (the premises) and I/we are making this application to you as the relevant licensing authority in accordance with section 12 of the Licensing Act 2003

Part 1 – Premises Details

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

2c St Georges Wharf Queens Row

(Trading as Four Degree)

Post town London Postcode SW8 2LE

Telephone number at premises (if any)

Non-domestic rateable value of premises £0

Part 2 - Applicant Details

Please state whether you are applying for a premises licence as Please tick as appropriate

a) an individual or individuals * please complete section (A)

b) a person other than an individual *

i. as a limited company please complete section (B)

ii. as a partnership please complete section (B)

iii. as an unincorporated association or please complete section (B)

iv. other (for example a statutory corporation) please complete section (B)

c) a recognised club please complete section (B)

d) a charity please complete section (B)

e) the proprietor of an educational establishment please complete section (B)

f) a health service body please complete section (B)

Revised Application Annex A

g)

ga)

a person who is registered under Part 2 of the Care Standards Act 2000 (c14) in respect of an independent hospital in Wales

a person who is registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008 (within the meaning of that Part) in an independent hospital in England

please complete section (B)


h) the chief officer of police of a police force in England and Wales


* If you are applying as a person described in (a) or (b) please confirm:

Please tick yes

I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities; or I am making the application pursuant to a

statutory function or a function discharged by virtue of Her Majesty’s prerogative

(A) INDIVIDUAL APPLICANTS (fill in as applicable)

Mr Mrs Miss Ms Other Title (for example, Rev)

Surname First names

I am 18 years old or over Please tick yes

Current postal address if different from premises address

Post town Postcode

Daytime contact telephone number

E-mail address(optional)

SECOND INDIVIDUAL APPLICANT (if applicable)


Surname First names

I am 18 years old or over Please tick yes


Post town Postcode



(B) OTHER APPLICANTS

Please provide name and registered address of applicant in full. Where appropriate please give any registered number. In the case of a partnership or other joint venture (other than a body corporate), please give the name and address of each party concerned.

Name Four Degree Management Ltd 19 Norfolk Road, London, England, NW8 6HG

Registered number (where applicable) 09475362

Description of applicant (for example, partnership, company, unincorporated association etc.) Limited company

Telephone number (if any)

E-mail address (optional)

Part 3 Operating Schedule

When do you want the premises licence to start? As soon as possible DD MM YYYY

If you wish the licence to be valid only for a limited period, when do you want it to end?

DD MM YYYY � � � � � � � �

Please give a general description of the premises (please read guidance note 1)

Restaurant with private dining facilities, art gallery, whisky tasting room and outdoor patio area. The premises are located on the ground floor, adjacent to other restaurant/bar premises with residential accommodation above and offices to the south-west. The block within which the premises are located is bounded by the Thames, the A3036 and Nine Elms Road.

The restaurant aims to provide a fine dining experience with Oriental and French themes, the ability to partake of premium select spirits and cigars, directed towards a select clientele.

If 5,000 or more people are expected to attend the premises at any one time, please state the number expected to attend.

What licensable activities do you intend to carry on from the premises?

(Please see sections 1 and 14 of the Licensing Act 2003 and Schedules 1 and 2 to the Licensing Act 2003)

Provision of regulated entertainment Please tick any 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)

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

Provision of late night refreshment (if ticking yes, fill in box I)

Supply of alcohol (if ticking yes, fill in box J)

In all cases complete boxes K, L and M

A

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

Will the performance of a play take place indoors or 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 any seasonal variations for performing plays (please read guidance note 4)

Thur

Fri Non standard timings. Where you intend to use the premises for the performance of plays at different times to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

B

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

Will the exhibition of films take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Outdoors



Tue

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

Thur

Fri Non standard timings. Where you intend to use the premises for the exhibition of films at different times to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

C

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 State any seasonal variations for indoor sporting events (please read guidance note 4)

Wed

Thur Non standard timings. Where you intend to use the premises for indoor sporting events at different times to those listed in the column on the left, please list (please read guidance note 5)

Fri

Sat

Sun

D

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

Will the boxing or wrestling entertainment take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Outdoors



Tue

Wed State any seasonal variations for boxing or wrestling entertainment (please read guidance note 4)

Thur

Fri Non standard timings. Where you intend to use the premises for boxing or wrestling entertainment at different times to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

E

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

Will the performance of live music take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Outdoors



Tue

Wed State any seasonal variations for the performance of live music (please read guidance note 4)

Thur

Fri Non standard timings. Where you intend to use the premises for the performance of live music at different times to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

F

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

Will the playing of recorded music take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Outdoors



Tue

Wed State any seasonal variations for the playing of recorded music (please read guidance note 4)

Thur

Fri Non standard timings. Where you intend to use the premises for the playing of recorded music at different times to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

G

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

Will the performance of dance take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Outdoors



Tue

Wed State any seasonal variations for the performance of dance (please read guidance note 4)

Thur

Fri Non standard timings. Where you intend to use the premises for the performance of dance at different times to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

H Anything of a similar description to that falling within (e), (f) or (g) Standard days and timings (please read guidance note 6)

Please give a description of the type of entertainment you will be providing

Day Start Finish Will this entertainment take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Mon

Outdoors

Both

Tue

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

Wed

Thur

State any seasonal variations for entertainment of a similar description to that falling within (e), (f) or (g) (please read guidance note 4)

Fri

Sat

Non standard timings. Where you intend to use the premises for the entertainment of a similar description to that falling within (e), (f) or (g) at different times to those listed in the column on the left, please list (please read guidance note 5)

Sun

I

Late night refreshment Standard days and timings (please read guidance note 6)

Will the provision of late night refreshment take place indoors or outdoors or both – please tick (please read guidance note 2)

Indoors

Outdoors



Tue

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

Thur

Fri Non standard timings. Where you intend to use the premises for the provision of late night refreshment at different times, to those listed in the column on the left, please list (please read guidance note 5)

Sat

Sun

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)

NB : The products planned to be sold are typically premium wines, spirits, cocktails and similar.

On the premises

Off the premises


Mon 09:00 23:00 State any seasonal variations for the supply of alcohol (please read guidance note 4)

Tue 09:00 23:00

Wed 09:00 23:00

Thur 09:00 23:00 Non standard timings. Where you intend to use the premises for the supply of alcohol at different times to those listed in the column on the left, please list (please read guidance note 5)

Fri 09:00 23:00

Sat 09:00 23:00

Sun 09:00 23:00

State the name and details of the individual whom you wish to specify on the licence as designated premises supervisor:

Name Mr Roger Gibbons

Address Flat

London

Postcode Personal licence number (if known)

Issuing licensing authority (if known)

K

Please highlight any adult entertainment or services, activities, other entertainment or matters ancillary to the use of the premises that may give rise to concern in respect of children (please read guidance note 8).

None

L

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 00:00

Tue 09:00 00:00

Wed 09:00 00:00

Non standard timings. Where you intend the premises to be open to the public at different times from those listed in the column on the left, please list (please read guidance note 5) Thur 09:00 00:00

Fri 00:00 00:30

09:00 00:00

Sat 00:00 00:30

09:00 00:00

Sun 00:00 00:30

09:00 00:00

M Describe the steps you intend to take to promote the four licensing objectives:

a) General – all four licensing objectives (b, c, d and e) (please read guidance note 9) 1. All staff employed in the sale of alcohol shall be trained in respect of the law relating to the

sale of alcohol, the company’s proof of age policy and the procedure on handling and recording refusals. Training must be documented and details made available upon request by an authorised officer of the police or licensing authority.

2. An operational policy shall be adopted detailing the responsibility of all staff. This will include

the procedure for dealing with rowdy/inconsiderate behaviour, an ejection/removal procedure and the implementation of the dispersal policy. Where possible, this policy should be produce in co-operation with other licensed premises in the immediate area so as to manage any possible cumulative impact. A copy of this policy shall be maintained for inspection at the premises and a copy provided to the St George’s Wharf Residents Association within 14 days of its adoption. Any significant amendments to the policy will be notified to St George’s Wharf Residents Association within 14 days of the amendment being adopted.

3. A log will be kept where a sale of alcohol is refused to any customer or any incidents of

public nuisance/anti-social behaviour, crime or disorder that may occur. This log will be kept available for inspection at the premises unless removed for the purposes of duplication. Any incidents shall be reviewed and signed by the Designated Premises Supervisor or Restaurant Manager as soon as is practicable after the record has been made. The log shall also be reviewed at least every six months to establish if there are any patterns of incident or regular issues that need attention. Feedback and action plan(s) shall be undertaken by the DPS and communicated to all staff members to address or mitigate these issues from recurring. The records shall be made available upon request to all Local Authority Officers with delegated authority in respect of enforcing the Licensing Act 2003

4. No off-sale of alcohol in an open container shall be made from the premises.

5. Management/staff shall robustly monitor alcohol consumption and promote responsible

drinking at all times. The sale of alcohol shall be prohibited/restricted where deemed necessary to ensure customers do not become inebriated.

6. Management/staff shall proactively monitor the conduct and behaviour of patrons to the

external tables & chairs area. Engagement to ensue where customers are deemed to be shouting or engaging in rowdy, anti-social behaviour to the detriment of residents within the vicinity. Those person(s) shall be asked to cease this activity and/or disperse from the premises quietly and efficiently.

7. Off-sales of alcohol shall comprise solely of spirits, such as whiskey and bourbon.

b) The prevention of crime and disorder

8. A refusal log will be kept and made available to Police on request

9. A CCTV system covering areas inside and directly outside of the premises should be updated and maintained according to police recommendations with properly maintained log arrangements and recordings/tapes to be kept for a minimum of 30 days.

10. The CCTV system is to comply with the Data Protection Act 1998 and must be working

and recording correctly when the venue is open to the public.

11. Daily checks of the CCTV system are to be completed and all details written into a log/ diary.

12. A staff member from the venue who is conversant with the operation of the CCTV system

must be on the premises at all times that the venue is open to the public for a licensable activity. This staff member must immediately be able to show police or local authority officer’s contemporaneous and recent data or footage on request.

13. The Premises are to use all reasonable efforts to provide police and local authority officers

with recordings from the CCTV system on request (e.g. by supplying recordings on DVD,

CD, tape etc and any software needed to play the footage if necessary)

14. No customers shall be allowed to leave the premises whilst carrying open drinking vessels.

c) Public safetyAll public safety matters are dealt with through existing legislation, in particular Health and Safety at Work Act etc. 1974 and subordinate regulations, The Regulatory Reform (Fire Safety) Order 2005 and the Equality Act 2010.

d) The prevention of public nuisance15. The premises shall prominently display signage informing customers: -

a. To leave quietly and to respect neighbours.b. Stating that CCTV is in operation and police have instant access to the footage.

16. A suitable automatic sound limiting device and graphic equalizer shall be installed in thepremises to control all amplified music, speech and vocals. The acceptable level of noiseshall be determined and set to Officer’s specifications and thereafter maintained at theapproved level for the duration of use.

17. No bass subwoofers shall be used on the premises, to safeguard the amenities of theadjoining residential properties.

18. All tables and chairs within the premises to remain in-situ at all times but may bechanged/altered and moved around as and when required.

19. At all times whilst the external area is in use, there shall be a full complement of tables andchairs within the external area (as per the designated plan submitted with the application).

20. There shall be no loudspeakers placed out in the external tables & chairs area.

21. A minimum of two SIA staff shall be engaged to monitor the exterior of the premises whilstthey are in use from 18:00 on Monday to Saturday inclusive and from midday on Sunday,until 30 minutes after all customers have left the premises. During these hours, thenumbers of customers shall be monitored by use of a tally device by persons who areengaged specifically for that purpose.

22. A door supervisor shall be engaged at the VIP entrance from 18:00 until the time that allcustomers have left the premises. The door supervisor will be instructed to encouragevehicles that arrive near this entrance not to loiter.

23. Short-term access will be provided to the car park for vehicles waiting to collect customersfrom the VIP entrance.

24. The maximum number of customers in the external area of the premises shall not exceed100 persons. Where the number of customers in the external area exceeds 70, amarshal shall be designated and instructed to patrol the area.

25. Access to the external area by customers shall be restricted to a route that leads via theinternal area and the doors that open into the external dining area. The external area willbe bounded by an effective barrier to prevent public access, of at least 1m height.

26. Bookings for groups in excess of 40 customers will not be accepted.

27. No eating or drinking by customers shall be permitted in the external area of the premisesafter 22:30 on any day, by which time the area will be cleared. Service to the external areawill cease by 22:00 each day.

28. Tables and chairs shall not be permitted to be re-arranged in the external area of thepremises so as to have the effect of forming one table for more than 20 customers at onetime.

29. Except for the Whiskey Lounge/Room, alcohol shall only be served to those personsseated at tables & chairs or at the bar, who are partaking of a substantial table meal. The

supply of alcohol to such persons shall be by waitress/waiter service only and shall be ancillary to the consumption of that meal.

30. There shall be no vertical drinking within the external area of the premises.

31. From 22:30hrs Monday to Sunday, the external area of the premises shall be thedesignated smoking area. The following restrictions shall apply: -

(a) Patrons shall be prohibited from taking their drinks outside with them and;(b) Staff shall ensure that patrons smoking in this area do so in an orderly

manner and are proactively monitored so as to ensure no undue noise orpublic nuisance issues.

32. A robust dispersal policy shall be adopted to ensure all patrons leave the premises andvicinity as quietly and speedily as possible. Ensure that patrons are verbally advised bymanagement/staff upon leaving to be mindful of the neighbouring residents so as not todisturb the peace.

33. Routine litter picks shall be undertaken to the external perimeters of the site building (andat closing time) to remove all discarded litter, drinking vessels, food waste/packaging andcigarette butts arising from the use of the premises.

34. There shall be no external emptying of bottle banks between the hours of 22:00 –08:00hrs Monday to Sunday. Deliveries will be instructed to arrive only between the hoursof 08:00 to 18:00. Trolleys used for the transport of stock or waste outside of thepremises will be fitted with pneumatic tyres.

35. Signage shall be displayed at public exits, seeking that customers respect the need not todisturb neighbours when leaving.

36. Signage will be displayed at the exterior of the premises with a telephone number forresidents to contact in the unlikely event that they are disturbed. This number shall bemanned whilst the premises are undertaking licensable activities.

37. A monitored telephone number shall be provided to local residents who request it and shallbe clearly displayed on the exterior of the premises so that contact can be made remotelywith staff at the premises in the event that a neighbour is disturbed by a licensable activity.

e) The protection of children from harm38. There shall be no adult entertainment, services or activities at the premises.

39. The premises shall operate a challenge 25 policy to prevent any customers, who appear tostaff members to be under the age of 25 years, from purchasing alcohol without havingfirst provided identification. Forms of identification that are acceptable will include apassport, photographic driving licence or other means of identity verification as recognisedby the Licensing Authority.

40. No persons under the age of 18 shall be permitted inside the premises after 2200

Checklist: Please tick to indicate agreement

I have made or enclosed payment of the fee. I have enclosed the plan of the premises. I have sent copies of this application and the plan to responsible authorities and others where applicable. I have enclosed the consent form completed by the individual I wish to be designated premises supervisor, if applicable. I understand that I must now advertise my application. 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 4 – Signatures (please read guidance note 10)

Signature of applicant or applicant’s solicitor or other duly authorised agent (see guidance note 11). If signing on behalf of the applicant, please state in what capacity.

Signature

Date 29/6/17

Capacity Solicitors and agents for the applicant

For joint applications, signature of 2nd applicant or 2nd applicant’s solicitor or other authorised agent (please read guidance note 12). If signing on behalf of the applicant, please state in what capacity.

Signature

Date

Capacity

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

Post town Oxford Postcode OX2 7HT Telephone number (if any) If you would prefer us to correspond with you by e-mail, your e-mail address (optional)

Notes for Guidance

1. Describe the premises, for example the type of premises, its general situation and layout and anyother information which could be relevant to the licensing objectives. Where your applicationincludes off-supplies of alcohol and you intend to provide a place for consumption of these off-supplies, you must include a description of where the place will be and its proximity to thepremises.

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

3. For example the type of activity to be authorised, if not already stated, and give relevant furtherdetails, 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 thesummer months.

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

6. Please give timings in 24 hour clock (e.g. 16:00) and only give details for the days of the weekwhen 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’. Ifyou 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 ofthe premises which may give rise to concern in respect of children, regardless of whether youintend 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 applicant or their respective agent must sign

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


a) General – all four licensing objectives (b, c, d and e) (please read guidance note 9)1. All staff employed in the sale of alcohol shall be trained in respect of the law relating to the

sale of alcohol, the company’s proof of age policy and the procedure on handling andrecording refusals. Training must be documented and details made available upon requestby an authorised officer of the police or licensing authority.

2. An operational policy shall be adopted detailing the responsibility of all staff. This will includethe procedure for dealing with rowdy/inconsiderate behaviour, an ejection/removalprocedure and the implementation of the dispersal policy. Where possible, this policyshould be produce in co-operation with other licensed premises in the immediate area soas to manage any possible cumulative impact. A copy of this policy shall be maintained forinspection at the premises and a copy provided to the St George’s Wharf ResidentsAssociation within 14 days of its adoption. Any significant amendments to the policy will benotified to St George’s Wharf Residents Association within 14 days of the amendmentbeing adopted.

3. A log will be kept where a sale of alcohol is refused to any customer or any incidents ofpublic nuisance/anti-social behaviour, crime or disorder that may occur. This log will bekept available for inspection at the premises unless removed for the purposes ofduplication. Any incidents shall be reviewed and signed by the Designated PremisesSupervisor or Restaurant Manager as soon as is practicable after the record has beenmade. The log shall also be reviewed at least every six months to establish if there are anypatterns of incident or regular issues that need attention. Feedback and action plan(s) shallbe undertaken by the DPS and communicated to all staff members to address or mitigatethese issues from recurring. The records shall be made available upon request to all LocalAuthority Officers with delegated authority in respect of enforcing the Licensing Act 2003


5. Management/staff shall robustly monitor alcohol consumption and promote responsibledrinking at all times. The sale of alcohol shall be prohibited/restricted where deemednecessary to ensure customers do not become inebriated.

6. Management/staff shall proactively monitor the conduct and behaviour of patrons to theexternal tables & chairs area. Engagement to ensue where customers are deemed to beshouting or engaging in rowdy, anti-social behaviour to the detriment of residents within thevicinity. Those person(s) shall be asked to cease this activity and/or disperse from thepremises quietly and efficiently.

7. Off-sales of alcohol shall comprise solely of spirits, such as whiskey and bourbon.

b) The prevention of crime and disorder

8. A refusal log will be kept and made available to Police on request

9. A CCTV system covering areas inside and directly outside of the premises should beupdated and maintained according to police recommendations with properly maintainedlog arrangements and recordings/tapes to be kept for a minimum of 30 days.

10. The CCTV system is to comply with the Data Protection Act 1998 and must be workingand recording correctly when the venue is open to the public.

11. Daily checks of the CCTV system are to be completed and all details written into a log/diary.

12. A staff member from the venue who is conversant with the operation of the CCTV systemmust be on the premises at all times that the venue is open to the public for a licensableactivity. This staff member must immediately be able to show police or local authorityofficer’s contemporaneous and recent data or footage on request.

Revised Section M

13. The Premises are to use all reasonable efforts to provide police and local authority officerswith recordings from the CCTV system on request (e.g. by supplying recordings on DVD,CD, tape etc and any software needed to play the footage if necessary)

14. No customers shall be allowed to leave the premises whilst carrying open drinking vessels,including through the main entrance or the VIP access.

c) Public safety

All public safety matters are dealt with through existing legislation, in particular Health and Safety at Work Act etc. 1974 and subordinate regulations, The Regulatory Reform (Fire Safety) Order 2005 and the Equality Act 2010.

d) The prevention of public nuisance

15. The premises shall prominently display signage informing customers: -a. To leave quietly and to respect neighbours.b. Stating that CCTV is in operation and police have instant access to the footage.

16. A suitable automatic sound limiting device and graphic equalizer shall be installed in thepremises to control all amplified music, speech and vocals. The acceptable level of noiseshall be determined and set to Officer’s specifications and thereafter maintained at theapproved level for the duration of use.

17. No bass subwoofers shall be used on the premises, to safeguard the amenities of theadjoining residential properties.

18. All tables and chairs within the premises to remain in-situ at all times but may bechanged/altered and moved around as and when required.

19. At all times whilst the external area is in use, there shall be a full complement of tables andchairs within the external area (as per the designated plan submitted with the application).

20. There shall be no loudspeakers placed out in the external tables & chairs area.

21. A minimum of two SIA staff shall be engaged to monitor the exterior of the premises whilstthey are in use from 18:00 on Monday to Saturday inclusive and from midday on Sunday,until 30 minutes after all customers have left the premises. During these hours, thenumbers of customers shall be monitored by use of a tally device by persons who areengaged specifically for that purpose.

22. A door supervisor shall be engaged at the VIP entrance from 18:00 until the time that allcustomers have left the premises. The door supervisor will be instructed to encouragevehicles that arrive near this entrance not to loiter.

23. Short-term access will be provided to the car park for vehicles waiting to collect customersfrom the VIP entrance.

24. The maximum number of customers in the external area of the premises shall not exceed100 persons. Where the number of customers in the external area exceeds 70, amarshal shall be designated and instructed to patrol the area.

25. Access to the external area by customers shall be restricted to a route that leads via theinternal area and the doors that open into the external dining area. The external area willbe bounded by an effective barrier to prevent public access, of at least 1m height.


27. No eating or drinking by customers shall be permitted in the external area of the premisesafter 22:30 on any day, by which time the area will be cleared. Service to the external areawill cease by 22:00 each day.

28. Tables and chairs shall not be permitted to be re-arranged in the external area of thepremises so as to have the effect of forming one table for more than 20 customers at onetime.

29. Except for the Whiskey Lounge/Room, alcohol shall only be served to those personsseated at tables & chairs or at the bar, who are partaking of a substantial table meal. Thesupply of alcohol to such persons shall be by waitress/waiter service only and shall beancillary to the consumption of that meal

30. Substantial food and non-intoxicating beverages shall be available in all parts of thepremises where alcohol is sold or supplied for consumption on the premises.


32. Patrons temporarily leaving the premises to smoke shall be prohibited from taking theirdrinks with them.

33. From 22:30hrs Monday to Sunday, the external area of the premises shall be thedesignated smoking area. The following restrictions shall apply: -

(a) Patrons shall be prohibited from taking their drinks outside with them and;(b) Staff shall ensure that patrons smoking in this area do so in an orderly

manner and are proactively monitored so as to ensure no undue noise orpublic nuisance issues.

(c) No more than 15 persons will be permitted to smoke in the outside area after22:30

34. A robust dispersal policy shall be adopted to ensure all patrons leave the premises andvicinity as quietly and speedily as possible. Ensure that patrons are verbally advised bymanagement/staff upon leaving to be mindful of the neighbouring residents so as not todisturb the peace.

35. Routine litter picks shall be undertaken to the external perimeters of the site building (andat closing time) to remove all discarded litter, drinking vessels, food waste/packaging andcigarette butts arising from the use of the premises.

36. There shall be no external emptying of bottle banks between the hours of 22:00 –08:00hrs Monday to Sunday. Deliveries will be instructed to arrive only between the hoursof 08:00 to 18:00. Trolleys used for the transport of stock or waste outside of thepremises will be fitted with pneumatic tyres.

37. Signage shall be displayed at public exits, seeking that customers respect the need not todisturb neighbours when leaving.

38. Signage will be displayed at the exterior of the premises with a telephone number forresidents to contact in the unlikely event that they are disturbed. This number shall bemanned whilst the premises are undertaking licensable activities.

39. A monitored telephone number shall be provided to local residents who request it and shallbe clearly displayed on the exterior of the premises so that contact can be made remotelywith staff at the premises in the event that a neighbour is disturbed by a licensable activity.

e) The protection of children from harm40. There shall be no adult entertainment, services or activities at the premises.

41. The premises shall operate a challenge 25 policy to prevent any customers, who appear tostaff members to be under the age of 25 years, from purchasing alcohol without havingfirst provided identification. Forms of identification that are acceptable will include apassport, photographic driving licence or other means of identity verification as recognisedby the Licensing Authority.


Application for a premises licence to be granted

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/We Four Degree Management Ltd (Insert name(s) of applicant) apply for a premises licence under section 17 of the Licensing Act 2003 for the premises described in Part 1 below (the premises) and I/we are making this application to you as the relevant licensing authority in accordance with section 12 of the Licensing Act 2003

Part 1 – Premises details

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

2c St Georges Wharf,

Queens Row

Post town London Postcode SW8 2LE

Telephone number at premises (if any)

Non-domestic rateable value of premises £0

Part 2 - Applicant details

Please state whether you are applying for a premises licence as Please tick as appropriate

a) an individual or individuals * please complete section (A)

b) a person other than an individual *

i as a limited company/limited liability partnership


ii as a partnership (other than limited liability) please complete section (B)

iii as an unincorporated association or please complete section (B)

iv other (for example a statutory corporation) please complete section (B)

c) a recognised club please complete section (B)

d) a charity please complete section (B)

Original Application

e) the proprietor of an educational establishment please complete section (B)

f) a health service body please complete section (B)

g)

ga)

a person who is registered under Part 2 of the Care Standards Act 2000 (c14) in respect of an independent hospital in Wales

a person who is registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008 (within the meaning of that Part) in an independent hospital in England



h) the chief officer of police of a police force in England and Wales


* If you are applying as a person described in (a) or (b) please confirm (by ticking yes to one boxbelow):

I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities; or I am making the application pursuant to a

statutory function or a function discharged by virtue of Her Majesty’s prerogative

(A) INDIVIDUAL APPLICANTS (fill in as applicable)


Surname First names

Date of birth I am 18 years old or over Please tick yes

Nationality

Current residential address if different from premises address

Post town Postcode



SECOND INDIVIDUAL APPLICANT (if applicable)


Surname First names

Date of birth I am 18 years old or over Please tick yes

Nationality


Post town Postcode



(B) OTHER APPLICANTS

Please provide name and registered address of applicant in full. Where appropriate please give any registered number. In the case of a partnership or other joint venture (other than a body corporate), please give the name and address of each party concerned.

Name Four Degree Management Ltd Address 19 Norfolk Road, London, England, NW8 6HG

Registered number (where applicable) 09475362

Description of applicant (for example, partnership, company, unincorporated association etc.) Limited company

Telephone number (if any)

E-mail address (optional)

Part 3 Operating Schedule

When do you want the premises licence to start? As soon as possible DD MM YYYY � � � � � � � �

If you wish the licence to be valid only for a limited period, when do you want it to end?

DD MM YYYY � � � � � � � �

Please give a general description of the premises (please read guidance note 1)

Restaurant with private dining facilities, art gallery, whisky tasting room and outdoor patio area. The premises are located on the ground floor, adjacent to other restaurant/bar premises with residential accommodation above and offices to the south-west. The block within which the premises are located is bounded by the Thames, the A3036 and Nine Elms Road.

The restaurant aims to provide a fine dining experience with Oriental and French themes, the ability to partake of premium select spirits and cigars, directed towards a select clientele.

If 5,000 or more people are expected to attend the premises at any one time, please state the number expected to attend. N/A

What licensable activities do you intend to carry on from the premises?

(please see sections 1 and 14 and Schedules 1 and 2 to the Licensing Act 2003)

Provision of regulated entertainment (please read guidance note 2) 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)

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

Provision of late night refreshment (if ticking yes, fill in box I)

Supply of alcohol (if ticking yes, fill in box J)

In all cases complete boxes K, L and M

A

Plays Standard days and timings (please read guidance note 7)

Will the performance of a play take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors



Tue

Wed State any seasonal variations for performing plays (please read guidance note 5)

Thur

Fri Non standard timings. Where you intend to use the premises for the performance of plays at different times to those listed in the column on the left, please list (please read guidance note 6)

Sat

Sun

B Films Standard days and timings (please read guidance note 7)

Will the exhibition of films take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors


Mon


Tue

Wed

State any seasonal variations for the exhibition of films (please read guidance note 5)

Thur

Fri

Non standard timings. Where you intend to use the premises for the exhibition of films at different times to those listed in the column on the left, please list (please read guidance note 6)

Sat

Sun

C Indoor sporting events Standard days and timings (please read guidance note 7)

Please give further details (please read guidance note 4)

Day Start Finish

Mon

Tue

State any seasonal variations for indoor sporting events (please read guidance note 5)

Wed

Thur

Non standard timings. Where you intend to use the premises for indoor sporting events at different times to those listed in the column on the left, please list (please read guidance note 6)

Fri

Sat

Sun

D Boxing or wrestling entertainments Standard days and timings (please read guidance note 7)

Will the boxing or wrestling entertainment take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors


Mon


Tue

Wed

State any seasonal variations for boxing or wrestling entertainment (please read guidance note 5)

Thur

Fri

Non standard timings. Where you intend to use the premises for boxing or wrestling entertainment at different times to those listed in the column on the left, please list (please read guidance note 6)

Sat

Sun

E Live music Standard days and timings (please read guidance note 7)

Will the performance of live music take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors


Mon 09:00

Please give further details here (please read guidance note 4) Facilities exist within the sound-proofed private rooms for music to be played to small groups of people. Most will be exempt entertainment.

23:00

Tue 09:00

23:00

Wed 09:00

State any seasonal variations for the performance of live music (please read guidance note 5)

23:00

Thur 09:00

23:30

Fri 09:00

Non standard timings. Where you intend to use the premises for the performance of live music at different times to those listed in the column on the left, please list (please read guidance note 6)

23:30

Sat 09:00

23:30

Sun 10:00

23:00

F Recorded music Standard days and timings (please read guidance note 7)

Will the playing of recorded music take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors


Mon 09:00

Please give further details here (please read guidance note 4 Music played is intended to compliment the dining experience, rather than be the sole form of licensable activity. Most recorded music will be exempt, as it will form background or be ancillary to other licensable activities.

23:00

Tue 09:00

23:00

Wed 09:00

State any seasonal variations for the playing of recorded music (please read guidance note 5)

23:00

Thur 09:00

23:30

Fri 09:00

Non standard timings. Where you intend to use the premises for the playing of recorded music at different times to those listed in the column on the left, please list (please read guidance note 6)

23:30

Sat 09:00

23:30

Sun 10:00

23:00

G Performances of dance Standard days and timings (please read guidance note 7)

Will the performance of dance take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors


Mon


Tue

Wed

State any seasonal variations for the performance of dance (please read guidance note 5)

Thur

Fri

Non standard timings. Where you intend to use the premises for the performance of dance at different times to those listed in the column on the left, please list (please read guidance note 6)

Sat

Sun

H

Anything of a similar description to that falling within (e), (f) or (g) Standard days and timings (please read guidance note 7)

Please give a description of the type of entertainment you will be providing

Day Start Finish Will this entertainment take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Mon Outdoors

Both

Tue Please give further details here (please read guidance note 4)

Wed

Thur State any seasonal variations for entertainment of a similar description to that falling within (e), (f) or (g) (please read guidance note 5)

Fri

Sat Non standard timings. Where you intend to use the premises for the entertainment of a similar description to that falling within (e), (f) or (g) at different times to those listed in the column on the left, please list (please read guidance note 6)

Sun

I

Late night refreshment Standard days and timings (please read guidance note 7)

Will the provision of late night refreshment take place indoors or outdoors or both – please tick (please read guidance note 3)

Indoors

Outdoors



Tue

Wed State any seasonal variations for the provision of late night refreshment (please read guidance note 5)

Thur

23:00 00:00

Fri Non standard timings. Where you intend to use the premises for the provision of late night refreshment at different times, to those listed in the column on the left, please list (please read guidance note 6)

23:00 00:00

Sat

23:00 00:00

Sun

J Supply of alcohol Standard days and timings (please read guidance note 7)

Will the supply of alcohol be for consumption – please tick (please read guidance note 8) NB : The products planned to be sold are typically premium wines, spirits, cocktails and similar.

On the premises

Off the premises


Mon 09:00

State any seasonal variations for the supply of alcohol (please read guidance note 5)

23:00

Tue 09:00

23:00

Wed 09:00

23:00

Thur 09:00

Non standard timings. Where you intend to use the premises for the supply of alcohol at different times to those listed in the column on the left, please list (please read guidance note 6)

23:30

Fri 09:00

23:30

Sat 09:00

23:30

Sun 09:00

23:00

State the name and details of the individual whom you wish to specify on the licence as designated premises supervisor (Please see declaration about the entitlement to work in the checklist at the end of the form): Name Mr Roger Gibbons Date of birth Address Flat 11,1

Postcode Personal licence number (if known)

Issuing licensing authority (if known) London Borough of

K Please highlight any adult entertainment or services, activities, other entertainment or matters ancillary to the use of the premises that may give rise to concern in respect of children (please read guidance note 9). None

L Hours premises are open to the public Standard days and timings (please read guidance note 7)

State any seasonal variations (please read guidance note 5)

Day Start Finish

Mon 09:00 00:00

Tue 09:00 00:00

Wed 09:00 00:00

Non standard timings. Where you intend the premises to be open to the public at different times from those listed in the column on the left, please list (please read guidance note 6)

Thur 09:00 00:00

Fri 00:00 00:30

09:00 00:00

Sat 00:00 00:30

09:00 00:00

Sun 00:00 00:30

09:00 00:00


a) General – all four licensing objectives (b, c, d and e) (please read guidance note10)1. All staff employed in the sale of alcohol shall be trained in respect of the law

relating to the sale of alcohol, the company’s proof of age policy and theprocedure on handling and recording refusals. Training must bedocumented and details made available upon request by an authorisedofficer of the police or licensing authority.

2. An operational policy shall be adopted detailing the responsibility of all staff.This will include the procedure for dealing with rowdy/inconsideratebehaviour, an ejection/removal procedure and the implementation of thedispersal policy. Where possible, this policy should be produce in co-operation with other licensed premises in the immediate area so as tomanage any possible cumulative impact. A copy of this policy shall bemaintained for inspection at the premises and a copy provided to the StGeorge’s Wharf Residents Association within 14 days of its adoption. Anysignificant amendments to the policy will be notified to St George’s WharfResidents Association within 14 days of the amendment being adopted.

3. A log will be kept where a sale of alcohol is refused to any customer or anyincidents of public nuisance/anti-social behaviour, crime or disorder thatmay occur. This log will be kept available for inspection at the premisesunless removed for the purposes of duplication. Any incidents shall bereviewed and signed by the Designated Premises Supervisor or RestaurantManager as soon as is practicable after the record has been made. The logshall also be reviewed at least every six months to establish if there are anypatterns of incident or regular issues that need attention. Feedback andaction plan(s) shall be undertaken by the DPS and communicated to all staffmembers to address or mitigate these issues from recurring. The recordsshall be made available upon request to all Local Authority Officers withdelegated authority in respect of enforcing the Licensing Act 2003


5. Management/staff shall robustly monitor alcohol consumption and promoteresponsible drinking at all times. The sale of alcohol shall beprohibited/restricted where deemed necessary to ensure customers donot become inebriated.

6. Management/staff shall proactively monitor the conduct and behaviour ofpatrons to the external tables & chairs area. Engagement to ensue wherecustomers are deemed to be shouting or engaging in rowdy, anti-socialbehaviour to the detriment of residents within the vicinity. Those person(s)shall be asked to cease this activity and/or disperse from the premisesquietly and efficiently.

b) The prevention of crime and disorder7. A refusal log will be kept and made available to Police on request

8. A CCTV system covering areas inside and directly outside of the premisesshould be updated and maintained according to police recommendationswith properly maintained log arrangements and recordings/tapes to bekept for a minimum of 30 days.

9. The CCTV system is to comply with the Data Protection Act 1998 and mustbe working and recording correctly when the venue is open to the public.

10. Daily checks of the CCTV system are to be completed and all details writteninto a log/ diary.

11. A staff member from the venue who is conversant with the operation of theCCTV system must be on the premises at all times that the venue is open tothe public for a licensable activity. This staff member must immediately beable to show police or local authority officer’s contemporaneous and recentdata or footage on request.

12. The Premises are to use all reasonable efforts to provide police and localauthority officers with recordings from the CCTV system on request (e.g. bysupplying recordings on DVD, CD, tape etc and any software needed to playthe footage if necessary)

13. No customers shall be allowed to leave the premises whilst carrying opendrinking vessels.

c) Public safetyAll public safety matters are dealt with through existing legislation, in particular Health and Safety at Work Act etc. 1974 and subordinate regulations, The Regulatory Reform (Fire Safety) Order 2005 and the Equality Act 2010.

d) The prevention of public nuisance14. The premises shall prominently display signage informing customers: -

a. To leave quietly and to respect neighbours.b. Stating that CCTV is in operation and police have instant access to thefootage.

15. A suitable automatic sound limiting device and graphic equalizer shall beinstalled in the premises to control all amplified music, speech and vocals.The acceptable level of noise shall be determined and set to Officer’sspecifications and thereafter maintained at the approved level for theduration of use.

16. No bass subwoofers shall be used on the premises, to safeguard theamenities of the adjoining residential properties.

17. The provision of Live Music shall be limited to the private dining areas indicated on the approved plan as ‘VIP’ rooms. The sound insulation to these rooms shall be maintained at the existing or better standard at any time when live music is undertaken.

18. All tables and chairs within the premises to remain in-situ at all times but can be changed/altered and moved around as and when required.

19. At all times whilst the external area is in use, there shall be a full complement of tables and chairs within the external area (as per the designated plan submitted with the application).

20. There shall be no speakers placed out in the external tables & chairs area.

21. A minimum of two SIA staff shall be engaged to monitor the exterior of the premises whilst they are in use on Thursdays, Fridays, Saturdays and Sundays from 18:00 until the time that all customers have left the premises. During these hours, the numbers of customers shall be monitored by use of a tally device by persons who are engaged specifically for that purpose.

22. The maximum number of customers in the external area of the premises shall not exceed 150 persons


24. No eating or drinking by customers shall be permitted in the external area of the premises after 22:30 on any day.

25. Tables and chairs shall not be permitted to be re-arranged in the external area of the premises so as to have the effect of forming one table for more than 20 customers at one time.

26. Except for the mezzanine area of the premises and the private dining rooms, alcohol shall only be served to those persons seated at tables & chairs who are partaking of a substantial table meal. The supply of alcohol to such persons shall be by waitress/waiter service only and shall be ancillary to the consumption of that meal.


28. From 22:30hrs Monday to Sunday, the external area of the premises shall be the designated smoking area. The following restrictions shall apply: - (a) Patrons shall be prohibited from taking their drinks outside with them and; (b) Staff shall ensure that patrons smoking in this area do so in an orderly manner and are proactively monitored so as to ensure no undue noise or public nuisance issues.

29. A robust dispersal policy shall be adopted from 23:00hrs to ensure all patrons leave the premises and vicinity as quietly and speedily as possible. Ensure that patrons are verbally advised by management/staff upon leaving to be mindful of the neighbouring residents so as not to disturb the peace.

30. Routine litter picks shall be undertaken to the external perimeters of the site

building (and at closing time) to remove all discarded litter, drinking vessels, food waste/packaging and cigarette butts arising from the use of the premises.

31. There shall be no external emptying of bottle banks between the hours of 23:00 – 08:00hrs Monday to Sunday.

32. Signage shall be displayed at public exits, seeking that customers respect the need not to disturb neighbours when leaving.

33. Signage will be displayed at the exterior of the premises with a telephone number for residents to contact in the unlikely event that they are disturbed. This number shall be manned whilst the premises are undertaking licensable activities.

34. A monitored telephone number shall be provided to local residents who request it and shall be clearly displayed on the exterior of the premises so that contact can be made remotely with staff at the premises in the event that a neighbour is disturbed by a licensable activity.

e) The protection of children from harm 35. There shall be no adult entertainment, services or activities at the premises

36. The premises shall operate a challenge 25 policy to prevent any customers, who appear to staff members to be under the age of 25 years, from purchasing alcohol without having first provided identification. Forms of identification that are acceptable will include a passport, photographic driving licence or other means of identity verification as recognised by the Licensing Authority


Checklist: Please tick to indicate agreement

I have made or enclosed payment of the fee. I have enclosed the plan of the premises. I have sent copies of this application and the plan to responsible authorities and others where applicable. I have enclosed the consent form completed by the individual I wish to be designated premises supervisor, if applicable. I understand that I must now advertise my application.

•

I understand that if I do not comply with the above requirements my application will be rejected

IT IS AN OFFENCE, UNDER SECTION 158 OF THE LICENSING ACT 2003, TO MAKE A FALSE STATEMENT IN OR IN CONNECTION WITH THIS APPLICATION. .

Part 4 – Signatures (please read guidance note 11)

Signature of applicant or applicant’s solicitor or other duly authorised agent (see guidance note 12). If signing on behalf of the applicant, please state in what capacity.

Signature

Date 7/7/17

Capacity Solicitors and agents for the applicant

For joint applications, signature of 2nd applicant or 2nd applicant’s solicitor or other authorised agent (please read guidance note 13). If signing on behalf of the applicant, please state in what capacity.

Signature

Date

Capacity

Contact name (where not previously given) and postal address for correspondence associated with this application (please read guidance note 14) Licensing Lawyers

Post town WALLINGFORD Postcode OX10 0BS

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

Notes for Guidance

1. Describe the premises, for example the type of premises, its general situation and layoutand any other information which could be relevant to the licensing objectives. Whereyour application includes off-supplies of alcohol and you intend to provide a place forconsumption of these off-supplies, you must include a description of where the place willbe and its proximity to the premises.

2. In terms of specific regulated entertainments please note that:• Plays: no licence is required for performances between 08:00 and 23.00 on any

day, provided that the audience does not exceed 500.• Films: no licence is required for ‘not-for-profit’ film exhibition held in

community premises between 08.00 and 23.00 on any day provided that theaudience does not exceed 500 and the organiser (a) gets consent to the screeningfrom a person who is responsible for the premises; and (b) ensures that each suchscreening abides by age classification ratings.

• Indoor sporting events: no licence is required for performances between 08.00and 23.00 on any day, provided that the audience does not exceed 1000.

• Boxing or Wrestling Entertainment: no licence is required for a contest,exhibition or display of Greco-Roman wrestling, or freestyle wrestling between08.00 and 23.00 on any day, provided that the audience does not exceed 1000.Combined fighting sports – defined as a contest, exhibition or display whichcombines boxing or wrestling with one or more martial arts – are licensable as aboxing or wrestling entertainment rather than an indoor sporting event.

• Live music: no licence permission is required for:o a performance of unamplified live music between 08.00 and 23.00 on

any day, on any premises.o a performance of amplified live music between 08.00 and 23.00 on any

day on premises authorised to sell alcohol for consumption on thosepremises, provided that the audience does not exceed 500.

o a performance of amplified live music between 08.00 and 23.00 on anyday, in a workplace that is not licensed to sell alcohol on those premises,provided that the audience does not exceed 500.

o a performance of amplified live music between 08.00 and 23.00 on anyday, in a church hall, village hall, community hall, or other similarcommunity premises, that is not licensed by a premises licence to sellalcohol, provided that (a) the audience does not exceed 500, and (b) theorganiser gets consent for the performance from a person who isresponsible for the premises.

o a performance of amplified live music between 08.00 and 23.00 on anyday, at the non-residential premises of (i) a local authority, or (ii) aschool, or (iii) a hospital, provided that (a) the audience does not exceed500, and (b) the organiser gets consent for the performance on therelevant premises from: (i) the local authority concerned, or (ii) theschool or (iii) the health care provider for the hospital.

• Recorded Music: no licence permission is required for:o any playing of recorded music between 08.00 and 23.00 on any day on

premises authorised to sell alcohol for consumption on those premises,provided that the audience does not exceed 500.

o any playing of recorded music between 08.00 and 23.00 on any day, in achurch hall, village hall, community hall, or other similar communitypremises, that is not licensed by a premises licence to sell alcohol,provided that (a) the audience does not exceed 500, and (b) the organisergets consent for the performance from a person who is responsible forthe premises.

o any playing of recorded music between 08.00 and 23.00 on any day, atthe non-residential premises of (i) a local authority, or (ii) a school, or(iii) a hospital, provided that (a) the audience does not exceed 500, and

(b) the organiser gets consent for the performance on the relevantpremises from: (i) the local authority concerned, or (ii) the schoolproprietor or (iii) the health care provider for the hospital.

• Dance: no licence is required for performances between 08.00 and 23.00 on anyday, provided that the audience does not exceed 500. However, a performancewhich amounts to adult entertainment remains licensable.

• Cross activity exemptions: no licence is required between 08.00 and 23.00 onany day, with no limit on audience size for:

o any entertainment taking place on the premises of the local authoritywhere the entertainment is provided by or on behalf of the localauthority;

o any entertainment taking place on the hospital premises of the healthcare provider where the entertainment is provided by or on behalf of thehealth care provider;

o any entertainment taking place on the premises of the school where theentertainment is provided by or on behalf of the school proprietor; and

o any entertainment (excluding films and a boxing or wrestlingentertainment) taking place at a travelling circus, provided that (a) ittakes place within a moveable structure that accommodates the audience,and (b) that the travelling circus has not been located on the same site formore than 28 consecutive days.

3. Where taking place in a building or other structure please tick as appropriate (indoorsmay include a tent).

4. For example the type of activity to be authorised, if not already stated, and give relevantfurther details, for example (but not exclusively) whether or not music will be amplifiedor unamplified.

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

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

7. Please give timings in 24 hour clock (e.g. 16.00) and only give details for the days of theweek when you intend the premises to be used for the activity.

8. If you wish people to be able to consume alcohol on the premises, please tick ‘on thepremises’. If you wish people to be able to purchase alcohol to consume away from thepremises, please tick ‘off the premises’. If you wish people to be able to do both, pleasetick ‘both’.

9. Please give information about anything intended to occur at the premises or ancillary tothe use of the premises which may give rise to concern in respect of children, regardlessof whether you intend children to have access to the premises, for example (but notexclusively) nudity or semi-nudity, films for restricted age groups or the presence ofgaming machines.

10. Please list here steps you will take to promote all four licensing objectives together.11. The application form must be signed.12. An applicant’s agent (for example solicitor) may sign the form on their behalf provided

that they have actual authority to do so.13. Where there is more than one applicant, each of the applicants or their respective agent

must sign the application form.

please read the following instructions first i/we · premium wines, spirits, cocktails and similar....

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