APPLICATION FOR A VARIATION TO A PREMISES LICENCE UNDER

THE LICENSING ACT 2003 Statement of the relevant licensable activities which it is proposed will be carried on or from the premises: To extend the licensable hours, to add regulated entertainment and to change the layout to include outdoor area. Name of Applicant: Timber Gardens Restaurant Ltd Full postal address of premises: Timber Gardens, 161 London Road, Croydon, CR0 2RJ Postal address of local authority where register of applications is kept for general viewing: London Borough of Croydon, Place Department, Licensing 6th Floor Zone A, Bernard Weatherill House, 8 Mint Walk, Croydon, CR0 1EA. Application details can be viewed at Access Croydon, Bernard Weatherill House, between 9am - 3.45pm, Monday to Friday (except bank holidays) If you wish to make any representations in relation to this application, please do so in writing by midnight on Tuesday 18th August 2020 to the following address: London Borough of Croydon Place Department, Licensing Team, 6th Floor, Zone A Bernard Weatherill House 8 Mint Walk Croydon, CR0 1EA Or By Email to: licensing@croydon.gov.uk It is an offence to knowingly or recklessly make a false statement in connection with an application. The maximum fine on summary conviction for such an offence is £5000.

CROYDON COUNCIL

Croydon

Application to vary a premises licence

Licensing Act 2003

For help contact

licensing@croydon.gov.uk

Telephone: 020 8760 5466 www.croydon.gov.uk ..__ ____________________________________,

* required information

Section 1 of 18

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System reference

Your reference

I Not Currently In Use I This is the unique reference for this ..... _______________ ___, application generated by the system.

You can put what you want here to help you ..__ ______________ __. track applications if you make lots of them. It

is passed to the authority.

Are you an agent acting on behalf of the applicant? Put "no" if you are applying on your own behalf or on behalf of a business you own or work for. (' Yes

Applicant Details

* First name

* Family name

* E-mail

(e' No

Main telephone number

Other telephone number

l __________ ___.I Include country code.

D Indicate here if you would prefer not to be contacted by telephone

Are you:

(e' Applying as a business or organisation, including as a sole trader

(' Applying as an individual

Applicant Business

Is your business registered in the UK with Companies House?

Registration number

(e' Yes (' No

jo8026396

A sole trader is a business owned by one person without any special legal structure. Applying as an individual means you are applying so you can be employed, or for some other personal reason, such as following a hobby.

Note: completing the Applicant Business section is optional in this form.

Business name !TIMBER_ GARDENS RESTAURANT LTD I If your business is registered, use its

..... _______________ ___,_ registered name.

VAT number

Legal status

Cl j240851326 Put "none" if you are not registered for VAT.

jPrivate Limited Company

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Your position in the business

Home country

Registered Address

Building number or name

Street

District

City or town

I DIRECTOR

!united Kingdom

1161

!LONDON ROAD

I lcROYDON

County or administrative area lcROYDON

Postcode lcRo 2RJ

Country !united Kingdom

Section 2 of 18

APPLICATION DETAILS

I The country where the headquarters of yourbusiness is located.

Address registered with Companies House.

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This application cannot be used to vary the licence so as t� 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 application under section 17 of the Licensing Act 2003.

I/we, as named in section 1, being the premises licence holder, apply to vary a premises licence under section 34 of the Licensing Act 2003 for the premises described in section 2 below.

* Premises Licence Number I14/0110/LIPREM I Are you able to provide a postal address, OS map reference or description of the premises?

(i' Address r OS map reference r Description

Postal Address Of Premises

Building number or name 1161 I Street !LONDON ROAD I District I I City or town lcRovDoN I County or administrative area I I Postcode lcRo 2RJ I Country !united Kingdom I Premises Contact Details

Telephone number I

Queen's Printer ilnd Controller of HMSO 2009