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City of London Corporation

Appllcatlon for a pntmlHe licence to be gl'lllltad under the Llcen•lng 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 legibly in block capitals. In an cases ensure that your answers are Inside the boxes and written In black ink. Use additional sheets If nece11ary. You may wish to keep a copy of the completed form for your records.

We Cote Restaurants Limited apply for a preniiaes Hcence underaec:tlon 17 of the Llcenalng Act 2003 for.the premises

.....

d•crlbed In Part 1 below (the premlaea) and I/we are making thl• applicatlon to you •• the relevant llcen•lng authority In accordance with HCtlon 12 of the Llcenalng Act 2003

Part 1- Preml■N Detail•

Cote

28 Old Jewry

Poat town London

Telephone number at premises (If any)

Non-domestic rateable value of premises

Part 2 -Appllcant Details

I I TBC

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

a) an individual or Individuals * □ b) a person other than an individual •

� i. aa a limited companyii. as a partnership □ iii. as an unincorporated association or □ iv. other (for example a statutory corporation) □

c) a recognised club □ d) a charity □ e) the proprietor of an educational establishment □ f) a health service body □ g) a person who is registered under Part 2 of the Cara □

Standartts Act. 2000 (c14) in respect of an independent hcspltal

□ ga) a person who is registered under Chapter 2 of Part 1 of the Health and Social Cara 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

1

- 4 DEC 2018

please complete section (A)

please complete section (B) please complete section (B) please complete section (B) pleaae complete section (B) please complete section (8) please complete section (B) please complete section (B) please complete section (B) please complete section (B)

please complete section (B)

please complete section (B)

J Supply of alcohol Standard daya and timings

!i,!11 lb! au1a11bt gf llf!2hOI 121 lg[ Qgn111mmmn ,e-•1tick bpxl f�lease read guidance note 8)

1 Onthe D

(please read guidance note premlue �

7)

Day I Start Mon 10:00

��00

Wed 10:00

Thur 10:00

Fri 10:00 -

Sat 10:00

Sun 110:00

Finish 00:00

00:00

01:30

01:30 -

01:30 ·-

00:00 -

� 00:00

�□

�

bl! 1n1 ■1yonal varfl&lgna for lhl IIH!llll of ■lgahgl (please read guidance note 5)

Nsm lllDdllSI ilmlDll1 !!1111111211 lllllDd lg 1111 lb! gremlla fm !b! eugm 2! 1lcohol at dl!llmnt tlmea lQ lbou 11•1111 ID lbl 12211HDD 20 lbl Ill. 1111111llB (pleaH read guidance note 8)

State the name and details of the lndlvldual whom you wish to specify on the llcence u premla•1uparvlsor

Please hlghllght any adult entertainment or nrvicea, actlvltln, other entertainment or mattere ancillary to the uae of the premlae1 that may give rlae to concern In ntspect of chlldntn (please read guidance note 9)

None

9

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I

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