{"content":[{"text":"Application for a provisional statement to be granted \n under the Licensing Act 2003","bbox":{"left":0.44104,"top":0.171198,"width":0.399501,"height":0.03177100000000002}},{"text":"PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST","bbox":{"left":0.275346,"top":0.213856,"width":0.44927300000000003,"height":0.016731999999999997}},{"text":"Before completing this form please read the guidance notes at the end of the form. If you are \n completing this form by hand please write legibly in block capitals. In all cases ensure that your \n answers are inside the boxes and written in black ink. Use additional sheets if necessary.","bbox":{"left":0.151195,"top":0.242504,"width":0.6810170000000001,"height":0.04538000000000003}},{"text":"You may wish to keep a copy of the completed form for your records.","bbox":{"left":0.151231,"top":0.29995,"width":0.4936459999999999,"height":0.016732000000000025}},{"text":"I/We \n (Insert name(s) of applicant) \n apply for a provisional statement under section 29 of the Licensing Act 2003 for the premises \n described in Part 1 below (the premises) and I/we are making this application to you as the \n relevant licensing authority in accordance with section 12 of the Licensing Act 2003","bbox":{"left":0.151179,"top":0.344516,"width":0.6972970000000001,"height":0.075959}},{"text":"Part 1 – Premises Details","bbox":{"left":0.151232,"top":0.43175,"width":0.18811599999999998,"height":0.017372}},{"text":"Postal address of premises or, if none, ordnance survey map reference or description","bbox":{"left":0.151179,"top":0.465128,"width":0.595863,"height":0.016732000000000025}},{"text":"Post town","bbox":{"left":0.151179,"top":0.59868,"width":0.07014999999999999,"height":0.01673199999999997}},{"text":"Postcode","bbox":{"left":0.614824,"top":0.59868,"width":0.063913,"height":0.01673199999999997}},{"text":"Telephone number at premises (if any)","bbox":{"left":0.151179,"top":0.64087,"width":0.2738,"height":0.01673199999999997}},{"text":"Non-domestic rateable value of premises","bbox":{"left":0.151179,"top":0.666952,"width":0.288912,"height":0.01673199999999997}},{"text":"£","bbox":{"left":0.470275,"top":0.667353,"width":0.008869000000000016,"height":0.017372000000000054}},{"text":"Part 2 - Applicant Details","bbox":{"left":0.151179,"top":0.702731,"width":0.18028,"height":0.01673199999999997}},{"text":"Please state whether you are applying for a premises licence as","bbox":{"left":0.151197,"top":0.731379,"width":0.44388800000000006,"height":0.01673199999999997}},{"text":"Please tick all that apply","bbox":{"left":0.634953,"top":0.731376,"width":0.1725629999999999,"height":0.01673199999999997}},{"text":"a) \n b)","bbox":{"left":0.151179,"top":0.760738,"width":0.014776000000000011,"height":0.04081999999999997}},{"text":"an individual or individuals * \n a person other than an individual * \n i as a limited company/limited liability \n partnership \n ii as a partnership (other than limited liability) \n iii as an unincorporated association or \n iv other (for example a statutory corporation)","bbox":{"left":0.193106,"top":0.760738,"width":0.34759399999999996,"height":0.1425869999999999}},{"text":"please complete section (A)","bbox":{"left":0.615199,"top":0.760738,"width":0.19660099999999991,"height":0.01673199999999997}},{"text":"please complete section (B)","bbox":{"left":0.615199,"top":0.809056,"width":0.1955929999999999,"height":0.01673199999999997}},{"text":"please complete section (B) \n please complete section (B) \n please complete section (B)","bbox":{"left":0.615199,"top":0.838275,"width":0.1955929999999999,"height":0.06504999999999994}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}